Gwinnett Clinic, Ltd in Loganville - Multi-specialty
Gwinnett Clinic, Ltd - NPI 1255342630
Gwinnett Clinic, Ltd is a Multi-specialty in Loganville, Georgia. Gwinnett Clinic, Ltd practices all healthcare services and medical treatments related to Multi-specialty. The NPI Number for Gwinnett Clinic, Ltd is 1255342630. The last update date is 2023-01-24.
Gwinnett Clinic, Ltd's current location address is 4397 Atlanta Hwy, Loganville, Georgia. You can contact this provider via phone number 7705540800 and fax number 7705540080. The mailing address for Gwinnett Clinic, Ltd is 4397 Atlanta Hwy, Loganville, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Gwinnett Clinic, Ltd |
|---|---|
| Address | 4397 Atlanta Hwy, Loganville, Georgia |
| Phone Number | 7705540800 |
| Fax Number | 7705540080 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | AUTHORIZED |
|---|---|
| Authorized Official Name | Shah Deep |
| Credentials | MD, MSC |
| Telephone Number | 7709953300 |
NPI Number Detail
| NPI Number | 1255342630 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2023-01-24 |
Provider Mailing Address Detail
| Address | 4397 Atlanta Hwy |
|---|---|
| City | Loganville |
| State | Georgia (GA) |
| Post Code | 300522642 |
| Phone Number | 7705540800 |
| Fax Number | 7705540080 |
Provider's Primary Taxonomy Detail
| Speciality | Multi-specialty |
|---|---|
| Taxonomy | 261Qm1300X |
|
Definition: Provides integrated outpatient care across medical and surgical specialties with referrals under one roof. |
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What is the Gwinnett Clinic, Ltd's unique identification number?
The Gwinnett Clinic, Ltd has been assigned the NPI (National Provider Identifier) Number 1255342630 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Gwinnett Clinic, Ltd located?
The Gwinnett Clinic, Ltd is located at 4397 Atlanta Hwy, Loganville, GA 300522642.
What is Gwinnett Clinic, Ltd's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Gwinnett Clinic, Ltd is Multi-specialty, and the corresponding taxonomy classification code for this specialized field is 261Qm1300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1255342630 to Gwinnett Clinic, Ltd?
The Centers for Medicare & Medicaid Services assigned the 1255342630 to Gwinnett Clinic, Ltd on 2006-08-10.
As of what date were the details pertaining to Gwinnett Clinic, Ltd last refreshed?
The information related to the Gwinnett Clinic, Ltd, including its address, specialty, and other relevant details, was last updated on 2023-01-24.
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