Whalio Doctors

NPI 1114331881

Avid Companies

Organisation Family Medicine Physician Lawrenceville, GA

Practice location

Address
1655 Lebanon Rd Suite C, Lawrenceville, GA 30043-5116
Phone
(678) 956-1006

Authorised official

Name
Clay Meek
Title
President
Phone
(678) 956-1006

Registered specialties

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 029703 (GA)

Registry record

NPI
1114331881
Entity type
Organization
NPI issued
20 Jun 2014
Record last updated
20 Jun 2014

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.