Lifebrite Physician Group LLC

NPI #1740751221 in Lilburn, Georgia

Provider Information

NPI Number: 1740751221
Entity Type: Organization
Organization Name: Lifebrite Physician Group LLC
Primary Specialty: Family Medicine
Enumeration Date: Dec 10, 2018
Last Updated: Dec 10, 2018

Practice Location

Address: 3970 FIVE FORKS TRICKUM RD SW STE A
City: Lilburn
State: Georgia
ZIP Code: 30047-2339
Phone: (855) 359-8629

Authorized Official

Name: MR. CHRISTIAN FLETCHER
Title: CEO
Phone: (855) 359-8629

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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