Organization
CPMSC GWINNETT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICTORIA BECK (CFO)
(404) 403-8310
Entity
Organization
Contact information
Practice address
4799 SUGARLOAF PKWY STE G-110, LAWRENCEVILLE, GA 30044-8836
(770) 929-9033
(770) 929-9092
Mailing address
PO BOX 11407 DEPT 3126, BIRMINGHAM, AL 35246-3126
(770) 929-9033
(770) 929-9092
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2011
Last updated
02/24/2020
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