Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mountain East Family Medicine PC

Organization Family Medicine Physician · NPI 1598971780

Mountain East Family Medicine PC provides Family Medicine Physician services in Lilburn, Georgia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4120 Five Forks Trickum Rd SW Ste 105
Lilburn, GA 30047-3130
Phone: (770) 921-6900
Fax: (770) 921-6313
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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 number1598971780
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Scott Keller — President · (770) 921-6900
NPI enumeratedMay 15, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4120 Five Forks Trickum Rd Sw, Suite 105, Lilburn, GA 30047-3130

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