Illuminate Medical LLC

NPI #1831928126 in Flowery Branch, Georgia

Provider Information

NPI Number: 1831928126
Entity Type: Organization
Organization Name: Illuminate Medical LLC
Primary Specialty: General Practice
Enumeration Date: Jul 26, 2024
Last Updated: Jul 26, 2024

Practice Location

Address: 5257 BOWMAN SPRINGS TRL
City: Flowery Branch
State: Georgia
ZIP Code: 30542-5193
Phone: (470) 846-3790

Authorized Official

Name: SETH M ILLU, MD
Title: PRESIDENT
Phone: (470) 846-3790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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