OrganizationActive
Annual Medicare Wellness Exams
NPI 1164148755 · Health Service Clinic/Center · Lawrenceville, GA
Provider details
- NPI number
- 1164148755
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Antonia Harris, Owner(706) 761-6553
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1880 Braselton Hwy Ste 118
Lawrenceville, GA 30043-2877
Phone: (706) 761-6553
Fax: (678) 804-1852
Approximate (ZIP-level) locationGet directions
Mailing address
1025 Campbell Pine Trl
Lawrenceville, GA 30045-4306
Registry dates
- Enumerated
- 2022-10-14
- Last updated
- 2022-11-11
- Certified
- 2022-11-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.