Ebt Holdings of Georgia Incorporated
Ebt Holdings of Georgia Incorporated is a Family Medicine Physician in Lawrenceville, Georgia. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1430 Five Forks Trickum Rd Ste 220Lawrenceville, GA 30044-8183
Phone: (786) 352-7021
Fax: (786) 698-1632
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1871287250 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Enrique Massuet Valdes — Vice President · (786) 352-7021 |
| NPI enumerated | June 7, 2023 |
| Last updated in NPPES | December 5, 2023 |
| Certification date | December 5, 2023 |
| Mailing address | 1430 Five Forks Trickum Rd Ste 220, Lawrenceville, GA 30044-8183 |
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