CPMSC GWINNETT LLC NPI 1144516451

NPI Information

NPI: 1144516451
Provider Name: CPMSC GWINNETT, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D2027889

Address:
4799 SUGARLOAF PKWY STE G-110
LAWRENCEVILLE, GA
ZIP 30044
Phone: (770) 929-9033
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CPMSC GWINNETT, LLC is an ambulatory surgical clinic center in Lawrenceville, GA. CPMSC GWINNETT, LLC NPI is 1144516451. The provider is registered as an organization entity type.

The provider's business location address is:

4799 SUGARLOAF PKWY STE G-110
LAWRENCEVILLE, GA
ZIP 30044-836
Phone: (770) 929-9033
Fax: (770) 929-9092

The provider's authorized official is Victoria Beck .
The authorized official title is Cfo and has the following contact phone number (404) 403-8310.

The CLIA number assigned to this NPI record is 11D2027889 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/24/2011 and was last updated on 2/24/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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