Provider First Line Business Practice Location Address:
FAMILY MEDICAL CLINIC OF LAWRENCEVILLE, LLC
Provider Second Line Business Practice Location Address:
2522 CRUSE ROAD SUITE C-2
Provider Business Practice Location Address City Name:
LAWRENCEVILLE
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30044
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-225-5540
Provider Business Practice Location Address Fax Number:
678-225-5541
Provider Enumeration Date:
02/25/2016