New League Family Practice
NPI #1902290570 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1902290570
- Entity Type
- Organization
- Organization Name
- New League Family Practice
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 23, 2015
- Last Updated
- Jan 28, 2016
Practice Location
- Address
- 428 WATERBURY DR
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30046-3323
- Phone
- (470) 209-8177
Authorized Official
- Name
- NATHALIE CELESTIN-WATSON
- Title
- CREDENTIALING LIAISON/ OWNER
- Phone
- (470) 209-8177
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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