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Organization
GWINNETT MEDICAL GROUP, INC
Active
Organization
GWINNETT MEDICAL GROUP, INC
Active
Other names
Gwinnett Medical Services, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVEN A RUBIN (EXECUTIVE DIRECTOR)
(470) 325-0150
Entity
Organization
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-5525
(770) 339-2120
Mailing address
PO BOX 116156, ATLANTA, GA 30368-6156
(470) 325-0136
(470) 325-0191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
GA
207R00000X
Internal Medicine Physician
—
GA
207T00000X
Neurological Surgery Physician
—
GA
208000000X
Pediatrics Physician
—
GA
208600000X
Surgery Physician
—
GA
208D00000X
General Practice Physician
Primary
—
GA
Other
Enumeration date
12/18/2006
Last updated
02/02/2015
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