LILBURN MEDICAL CENTER PC (NPI# 1083165294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083165294 |
| Entity Type | Organization |
| Organization Name | LILBURN MEDICAL CENTER PC |
| Practice Address |
4705 Lawrenceville Hwy Nw Lilburn GA 30047-3667 |
| Mailing Address |
4705 Lawrenceville Hwy Nw Suite B Lilburn GA 30047-3667 |
| Practice Telephone | 7708805788 |
| Practice Fax Number | 4044812062 |
| Mailing Telephone | 7708805788 |
| Mailing Fax Number | 4044812062 |
| Enumeration Date | 2016-10-23 |
| Last Update Date | 2017-03-30 |
| Authorized Official Name | MINSHENG WANG (OWENER) |
| Authorized Official Telephone | 7708805788 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
15063657 | GA | Ambulatory Health Care Facilities |
| Street Address |
4705 LAWRENCEVILLE HWY NW |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-3667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346244985 | James Palmer Branch | Podiatrist | 4705 Lawrenceville Hwy Nw, Suite C, Lilburn, GA 30047-3667 | 2005-06-10 |
| 1780871251 | Comprehensive Foot & Ankle | Clinic/Center | 4705 Lawrenceville Hwy Nw, Suite C, Lilburn, GA 30047-3667 | 2007-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639426984 | Lifeline Primary Care, Inc | Clinic/Center | 4025 Lawrenceville Hwy Nw Ste A, Lilburn, GA 30047-2876 | 2012-08-06 |
| 1932374618 | Kids Doc Pediatrics | Clinic/Center | 3100 Five Forks Trickum Rd Sw Ste 204, Lilburn, GA 30047-1887 | 2008-04-24 |
| 1114286945 | Faith M. Gray, M.d., Inc. | Clinic/Center | 3993 Lawrenceville Hwy Nw, Suite 115, Lilburn, GA 30047-2897 | 2012-05-14 |
| 1538467949 | Harvey J. Schecter, D.o., P.C. Dba Total Care | Clinic/Center | 976 Killian Hill Rd Sw, Suite A, Lilburn, GA 30047-3102 | 2011-03-09 |
| 1518120617 | Aaron J. Hupman,m.d.,p.c. | Clinic/Center | 354 Arcado Rd Nw, Suite 1, Lilburn, GA 30047-2844 | 2008-07-08 |
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| 1598389637 | Mercie Health | Clinic/Center | 3721 New Macland Rd Ste 246, Powder Springs, GA 30127-2000 | 2020-06-04 |
| 1366061699 | Beyondmed LLC | Clinic/Center | 1820 Willow Branch Ln Nw, Kennesaw, GA 30152-4558 | 2020-04-16 |
| 1366082596 | Rock Health Inc | Clinic/Center | 5385 Five Forks Trickum Rd Ste F, Stone Mountain, GA 30087-3018 | 2020-01-15 |
| 1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.