Organization
GREATER GWINNETT INTERNAL MEDICINE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF RYDBURG (VP)
(615) 373-7600
Entity
Organization
Contact information
Practice address
1800 TREE LANE RD, STE 120, SNELLVILLE, GA 30078-2016
(678) 344-4472
Mailing address
1800 TREE LANE RD, STE 120, SNELLVILLE, GA 30078-2016
(678) 344-4472
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/11/2006
Last updated
01/18/2008
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