NPI 1003567223

Un Simple Minded

Organisation Community Health Worker Lawrenceville, GA

Practice location

Address: 810 Eagle Cove Way, Lawrenceville, GA 30044-5843
Phone: (678) 975-5539

Authorised official

Name: Amir Bernard Lane
Title: Owner
Phone: (678) 975-5539

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Georgia →

Registry record

NPI: 1003567223
Entity type: Organization
NPI issued: 11 Jan 2022
Record last updated: 11 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.