Divine Mercy Medical Group LLC
Divine Mercy Medical Group LLC provides Family Medicine Physician services in Lawrenceville, Georgia. Registered with an NPI since 2024.
- In the registry since
- 2024
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1260 Hiram Davis RdLawrenceville, GA 30045-6628
Phone: (877) 258-6331
Fax: (718) 362-1651
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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 | 1881419406 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Isabelle Vikumitsi — Owner · (678) 992-6132 |
| NPI enumerated | November 19, 2024 |
| Last updated in NPPES | November 19, 2024 |
| Certification date | November 19, 2024 |
| Mailing address | 1260 Hiram Davis Rd, Lawrenceville, GA 30045-6628 |
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