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PREGNANCY RESOURCE CENTER OF GWINNETT NPI 1942834411


NPI Information

NPI: 1942834411
Provider Name: PREGNANCY RESOURCE CENTER OF GWINNETT

Doing Business As: OBRIA MEDICAL CLINIC

Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

CLIA Number: 11D2009265

Address:
565 OLD NORCROSS RD
SUITE 200
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 338-1680
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PREGNANCY RESOURCE CENTER OF GWINNETT is a community health clinic center in Lawrenceville, GA. PREGNANCY RESOURCE CENTER OF GWINNETT NPI is 1942834411. The provider is registered as an organization entity type.
The provider Is Doing Business As Obria Medical Clinic.

The provider's business location address is:

565 OLD NORCROSS RD
SUITE 200
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 338-1680
Fax: (770) 338-7329

The provider's authorized official is Robin E Mauck .
The authorized official title is Executive Director and has the following contact phone number (770) 338-1622.

The CLIA number assigned to this NPI record is 11D2009265 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/24/2020 and was last updated on 2/26/2020.


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
1261QC1500XClinic/CenterCommunity HealthYes

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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