DIVINE MERCY MEDICAL GROUP LLC

LAWRENCEVILLE, GA
NPI1881419406
Entity TypeOrganization
Authorized ContactISABELLE VIKUMITSI
Owner
678-992-6132
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2024-11-19
Last Update Date2024-11-19
Business Address
DIVINE MERCY MEDICAL GROUP LLC
1260 HIRAM DAVIS RD
LAWRENCEVILLE, GA 30045-6628
Phone number: 877-258-6331
Mailing Address
DIVINE MERCY MEDICAL GROUP LLC
1260 HIRAM DAVIS RD
LAWRENCEVILLE, GA 30045-6628
Phone number: 877-258-6331