Family Medical Clinic of Lawrenceville
NPI #1306013594 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1306013594
- Entity Type
- Organization
- Organization Name
- Family Medical Clinic of Lawrenceville
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 15, 2008
- Last Updated
- May 15, 2008
Practice Location
- Address
- 2522 CRUSE RD
- Address 2
- C-2
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30044-2750
- Phone
- (678) 225-5540
Authorized Official
- Name
- DR. IRANDATHY RODRIGO, MD
- Title
- BUSINESS OWNER
- Phone
- (678) 225-5540
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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