Divine Mercy Medical Group LLC
NPI #1881419406 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1881419406
- Entity Type
- Organization
- Organization Name
- Divine Mercy Medical Group LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Nov 19, 2024
- Last Updated
- Nov 19, 2024
Practice Location
- Address
- 1260 HIRAM DAVIS RD
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30045-6628
- Phone
- (877) 258-6331
Authorized Official
- Name
- ISABELLE VIKUMITSI, NP
- Title
- OWNER
- Phone
- (678) 992-6132
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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