Healthcare Provider Details

I. General information

NPI: 1356033872
Provider Name (Legal Business Name): LOVELY HEALTH SERVICES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2023
Last Update Date: 10/27/2023
Certification Date: 10/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2695 SUGARLOAF PKWY STE 1200
LAWRENCEVILLE GA
30045-9459
US

IV. Provider business mailing address

2695 SUGARLOAF PKWY STE 1200
LAWRENCEVILLE GA
30045-9459
US

V. Phone/Fax

Practice location:
  • Phone: 678-444-7878
  • Fax: 888-571-6429
Mailing address:
  • Phone: 678-444-7878
  • Fax: 888-571-6429

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. EMERALD LOVELY
Title or Position: OWNER/CEO
Credential: MD
Phone: 678-444-7878