Peachstate Family Clinic, LLC

NPI #1346754041 in Lilburn, Georgia

Provider Information

NPI Number: 1346754041
Entity Type: Organization
Organization Name: Peachstate Family Clinic, LLC
Primary Specialty: Family Medicine
Enumeration Date: Nov 17, 2017
Last Updated: Nov 17, 2017

Practice Location

Address: 4319 LAWRENCEVILLE HWY NW
City: Lilburn
State: Georgia
ZIP Code: 30047-3416
Phone: (678) 583-8888

Authorized Official

Name: DR. CHANGCHUN WU, MD
Title: PHYSICIAN
Phone: (678) 583-8888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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