NPI 1730804642

Ngx Lawrenceville Ga PC

Organisation Physical Medicine & Rehabilitation Physician Lawrenceville, GA

Practice location

Address: 1470 Lawrenceville Hwy, Lawrenceville, GA 30044-4646
Phone: (678) 486-7777
Fax: (678) 486-7777

Authorised official

Name: Richard Graciano
Title: Patient Service Center Manager
Phone: (915) 261-9418

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Georgia →

Registry record

NPI: 1730804642
Entity type: Organization
NPI issued: 4 Oct 2022
Record last updated: 20 Jan 2023

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.