Healthcare Provider Details

I. General information

NPI: 1871707448
Provider Name (Legal Business Name): JOSHUA DAVID LOVELOCK M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/10/2007
Last Update Date: 07/16/2021
Certification Date: 07/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

535 JESSE JEWELL PKWY SE SUITE C
GAINESVILLE GA
30501
US

IV. Provider business mailing address

755 WALTHER RD
LAWRENCEVILLE GA
30046-8725
US

V. Phone/Fax

Practice location:
  • Phone: 770-534-9014
  • Fax:
Mailing address:
  • Phone: 770-962-0399
  • Fax: 770-995-0533

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberGA60763
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: