Grayson Primary Care LLC

NPI #1417903451 in Grayson, Georgia

Provider Information

NPI Number: 1417903451
Entity Type: Organization
Organization Name: Grayson Primary Care LLC
Primary Specialty: Family Medicine
Enumeration Date: May 25, 2006
Last Updated: Apr 20, 2008

Practice Location

Address: 2594 LOGANVILLE HWY
Address 2: SUITE 101
City: Grayson
State: Georgia
ZIP Code: 30017-1617
Phone: (678) 225-4999

Authorized Official

Name: MARK PICKETT
Title: VP
Phone: (678) 762-5037

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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