St. Mary's Independent Living Extensions
Specialty details in registry · Lawrenceville, GA
At a glance
120 Gloster Rd Nw Ste 3, Lawrenceville, GA 30044-4479
NPPES record updated Apr 21, 2015. Public records can lag behind changes at a practice.
Before you call: a quick checklist
- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
120 Gloster Rd Nw Ste 3Lawrenceville, GA 30044-4479
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 251C00000X
- Enumeration date
- Apr 21, 2015
- Record updated
- Apr 21, 2015
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
251C00000X · Primary
License reported: 067-R-0388 GA
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
120 Gloster Rd Nw Ste 3Lawrenceville, GA 30044-4479
- Phone
- (770) 279-5115
- Fax
- (770) 923-2059
Mailing address
120 GLOSTER RD NW STE 3LAWRENCEVILLE, GA 300444479
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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