Barry Medical Clinic

NPI #1033709043 in Lilburn, Georgia

Provider Information

NPI Number: 1033709043
Entity Type: Organization
Organization Name: Barry Medical Clinic
Subpart: Yes (part of a larger organization)
Parent Organization: K LOOR MEDICAL LLC
Primary Specialty: Family Medicine
Enumeration Date: Jan 23, 2021
Last Updated: Jan 23, 2021

Practice Location

Address: 4030 LAWRENCEVILLE HWY NW STE 9
City: Lilburn
State: Georgia
ZIP Code: 30047-2823
Phone: (678) 880-9990

Authorized Official

Name: JEFFREY DONOHUE, MD
Title: MEDICAL DIRECTOR
Phone: (678) 880-9990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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