Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mobile Mini Clinic

Organization Clinic/Center · NPI 1194362699

Mobile Mini Clinic is a Clinic/Center in Lawrenceville, Georgia. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
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Practice location Address checks out

2225 Prickly Pear Walk
Lawrenceville, GA 30043-6344
Phone: (470) 207-1866
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X
Health Service Clinic/Center Taxonomy 261QH0100X

Record details

NPI number1194362699
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taheerah Demby — Ceo · (470) 207-1866
NPI enumeratedDecember 3, 2019
Last updated in NPPESJuly 13, 2020
Certification dateJuly 13, 2020
Mailing address2225 Prickly Pear Walk, Lawrenceville, GA 30043-6344

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