GWINNETT CLINIC LTD NPI 1548271026

NPI Information

NPI: 1548271026
Provider Name: GWINNETT CLINIC, LTD
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
475 PHILIP BLVD
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 995-3300
Get Directions

GWINNETT CLINIC, LTD is a multi-specialty clinic center in Lawrenceville, GA. GWINNETT CLINIC, LTD NPI is 1548271026. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

475 PHILIP BLVD
LAWRENCEVILLE, GA
ZIP 30046-737
Phone: (770) 995-3300
Fax: (770) 995-3307

The provider's authorized official is Deep Shah .
The authorized official title is Authorized Official and has the following contact phone number (770) 995-3300.

The enumeration date for this NPI number is 8/10/2006 and was last updated on 1/24/2023.

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	Primary
1	173000000X	Legal Medicine		No
2	207K00000X	Allergy & Immunology		No
3	207Q00000X	Family Medicine		No
4	207R00000X	Internal Medicine		No
5	207RC0000X	Internal Medicine	Cardiovascular Disease	No
6	207RG0300X	Internal Medicine	Geriatric Medicine	No
7	207X00000X	Orthopaedic Surgery		No
8	2084N0400X	Psychiatry & Neurology	Neurology	No
9	2084S0012X	Psychiatry & Neurology	Sleep Medicine	No
10	2085R0202X	Radiology	Diagnostic Radiology	No
11	363L00000X	Nurse Practitioner		No
12	261QM1300X	Clinic/Center	Multi-Specialty	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

NPI Synchronization or Removal

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