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GWINNETT URGENT CARE NPI 1295907756


NPI Information

NPI: 1295907756
Provider Name: GWINNETT URGENT CARE
Classification: Emergency Medicine - 207PE0004X
Entity Type: Organization

Specialization: Emergency Medical Services

CLIA Number: 11D2271118

Address:
1300 PEACHTREE INDUSTRIAL BLVD
STE 4101
SUWANEE, GA
ZIP 30024
Phone: (770) 831-5525
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GWINNETT URGENT CARE is an emergency medical services emergency medicine in Suwanee, GA. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. GWINNETT URGENT CARE NPI is 1295907756. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1300 PEACHTREE INDUSTRIAL BLVD
STE 4101
SUWANEE, GA
ZIP 30024-539
Phone: (770) 831-5525
Fax: (770) 831-5527

The provider's authorized official is Ronald E Perry .
The authorized official title is Ceo and has the following contact phone number (770) 831-5525.

The CLIA number assigned to this NPI record is 11D2271118 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/25/2008 and was last updated on 3/27/2008.


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
1207PE0004XEmergency MedicineEmergency Medical Services059849GEORGIAYes

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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