NPI 1659818482

Three in One Medical

Organisation Preferred Provider Organization Lilburn, GA

Practice location

Address: 5222 Addison Trl SW, Lilburn, GA 30047-6670
Phone: (404) 396-3997

Authorised official

Name: Stephane Maurisha Lang
Title: Physician
Phone: (404) 396-3997

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 305R0000X (GA)

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Registry record

NPI: 1659818482
Entity type: Organization
NPI issued: 31 Jan 2017
Record last updated: 31 Jan 2017

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.