Lw Gwinnett County Radiation in Lawrenceville - Specialist
Lw Gwinnett County Radiation - NPI 1104091602
Lw Gwinnett County Radiation is a Specialist in Lawrenceville, Georgia. Lw Gwinnett County Radiation practices all healthcare services and medical treatments related to Specialist. The NPI Number for Lw Gwinnett County Radiation is 1104091602. The last update date is 2008-04-25.
Lw Gwinnett County Radiation's current location address is 311 Philip Blvd, Lawrenceville, Georgia. You can contact this provider via phone number 7709953000 and fax number 7709951427. The mailing address for Lw Gwinnett County Radiation is 311 Philip Blvd, Lawrenceville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lw Gwinnett County Radiation |
|---|---|
| Address | 311 Philip Blvd, Lawrenceville, Georgia |
| Phone Number | 7709953000 |
| Fax Number | 7709951427 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CONTRACT A |
|---|---|
| Authorized Official Name | Laviscount Tammie |
| Telephone Number | 7706822080 |
NPI Number Detail
| NPI Number | 1104091602 |
|---|---|
| Provider Enumeration Date | 2008-04-25 |
| Last Updated Date | 2008-04-25 |
Provider Mailing Address Detail
| Address | 311 Philip Blvd |
|---|---|
| City | Lawrenceville |
| State | Georgia (GA) |
| Post Code | 300458733 |
| Phone Number | 7709953000 |
| Fax Number | 7709951427 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 46327 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the Lw Gwinnett County Radiation's unique identification number?
The Lw Gwinnett County Radiation has been assigned the NPI (National Provider Identifier) Number 1104091602 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Lw Gwinnett County Radiation is located?
The Lw Gwinnett County Radiation is situated at the following address: 311 Philip Blvd, Lawrenceville, GA, 300458733.
What is Lw Gwinnett County Radiation's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lw Gwinnett County Radiation is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Lw Gwinnett County Radiation receive its 1104091602 assignment from the Centers for Medicare & Medicaid Services?
The Lw Gwinnett County Radiation was assigned its 1104091602 by the Centers for Medicare & Medicaid Services on 2008-04-25.
When was the information regarding Lw Gwinnett County Radiation most recently updated?
The details pertaining to the Lw Gwinnett County Radiation, including its address, specialty, and other relevant information, were last refreshed on 2008-04-25.
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