Individual
EDWIN GWIRA-TAMATTEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S ENOTA DR NE STE 100, GAINESVILLE, GA 30501-3466
(770) 219-9675
Mailing address
2203 REA DR SW, GAINESVILLE, GA 30501-4440
(773) 551-9691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125080573
IL
207RC0000X
Cardiovascular Disease Physician
Primary
103896
GA
390200000X
Student in an Organized Health Care Education/Training Program
125080573
IL
Other
Enumeration date
07/05/2022
Last updated
07/03/2025
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