Lifetime Medical Center, PC

NPI #1982933107 in Ellijay, Georgia

Provider Information

NPI Number: 1982933107
Entity Type: Organization
Organization Name: Lifetime Medical Center, PC
Primary Specialty: Family Medicine
Enumeration Date: Dec 17, 2009
Last Updated: Aug 13, 2014

Practice Location

Address: 14244 HIGHWAY 515 N
Address 2: SUITE 100
City: Ellijay
State: Georgia
ZIP Code: 30536
Phone: (706) 698-5433

Authorized Official

Name: LEE KENT
Title: ADMINISTRATOR
Phone: (706) 698-5433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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