Organization
GWINNETT EMERGENCY SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN KONDAS (OFFICER)
(954) 838-2371
Entity
Organization
Contact information
Practice address
500 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-8708
(678) 312-3318
(678) 312-4416
Mailing address
500 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-8708
(678) 312-3318
(678) 312-4416
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
RN159452
GA
Other
Enumeration date
09/09/2015
Last updated
08/27/2019
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