Organization
ATLANTA GWINNETT WOMEN'S SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEMUEL G. VILLANUEVA MD (PRESIDENT)
(770) 963-2485
Entity
Organization
Contact information
Practice address
766 WALTHER RD, SUITE 100, LAWRENCEVILLE, GA 30046-8765
(770) 963-2485
Mailing address
766 WALTHER RD, SUITE 100, LAWRENCEVILLE, GA 30046-8765
(770) 963-2485
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
047375
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000867292A
—
GA
05
—
530687225A
—
GA
Enumeration date
11/05/2007
Last updated
12/09/2011
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