Organization
GWINNETT INTERNAL MEDICINE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA GEARHART (PRACTICE MGR.)
(770) 963-2474
Entity
Organization
Contact information
Practice address
601 OLD NORCROSS RD, STE A, LAWRENCEVILLE, GA 30046-4311
(770) 963-2474
(770) 963-2476
Mailing address
601 OLD NORCROSS RD, STE A, LAWRENCEVILLE, GA 30046-4311
(770) 963-2474
(770) 963-2476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19511
GA
Other
Enumeration date
12/05/2006
Last updated
02/18/2011
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