OrganizationActive
Jubilee Primary Care PC
NPI 1891393005 · Addiction Medicine (Family Medicine) Physician · Suwanee, GA
Provider details
- NPI number
- 1891393005
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Avril Patrice Shongo, Provider
Practice location
3312 Heathchase Ln
Suwanee, GA 30024-4639
Phone: (678) 783-4860
Fax: (678) 940-0509
Mailing address
2090 Lawrenceville Suwanee Rd
Suwanee, GA 30024
Registry dates
- Enumerated
- 2020-10-12
- Last updated
- 2020-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.