Organization
GWINNETT FAMILY MEDICINE AND GERIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WEZYANN GAYLE M.D. (CEO/OWNER)
(646) 642-1564
Entity
Organization
Contact information
Practice address
706 GRAYSON HWY, SUITE 215, LAWRENCEVILLE, GA 30046-5736
(770) 316-2994
Mailing address
706 GRAYSON HWY, SUITE 215, LAWRENCEVILLE, GA 30046-5736
(770) 316-2994
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
11080875
GA
Other
Enumeration date
02/08/2016
Last updated
02/08/2016
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