Organization
GWINNETT OB-GYN ASSOCIATES, P.C..
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA GANN (OFFICE ADMINISTRATOR)
(770) 972-0330
Entity
Organization
Contact information
Practice address
1700 TREE LANE RD, SUITE 290, SNELLVILLE, GA 30078-6782
(770) 972-0330
(770) 985-2683
Mailing address
1700 TREE LANE RD, SUITE 290, SNELLVILLE, GA 30078-6782
(770) 972-0330
(770) 985-2683
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055000257A
—
GA
01
—
CA866
RAILROAD MEDICARE
—
Enumeration date
05/12/2006
Last updated
06/22/2015
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