Organization
GWINNETT CLINIC LTD
Active
Other names
Gwinnett Clinic Pharmacy, BENZER PHARMACY
Organization subpart
No
Provider details
NPI number
Authorized official
DEEP SHAH MD (AUTHORIZED OFFICIAL)
(678) 428-4714
Entity
Organization
Contact information
Practice address
475 PHILIP BLVD STE 102, LAWRENCEVILLE, GA 30046-8737
(678) 226-6212
(678) 225-4036
Mailing address
475 PHILIP BLVD STE 102, LAWRENCEVILLE, GA 30046-8737
(678) 226-6212
(678) 225-4036
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116276832A
—
GA
Enumeration date
07/12/2007
Last updated
11/07/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us