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Organization

GWINNETT FAMILY MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SYED A ALI (PRACTICE MANAGER)
(770) 910-2377
Entity
Organization

Contact information

Practice address
510 GRAYSON HWY, LAWRENCEVILLE, GA 30045-6332
(770) 995-9565
Mailing address
510 GRAYSON HWY, LAWRENCEVILLE, GA 30045-6332
(770) 995-9565

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
52073
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
189134074A
GA
Enumeration date
10/15/2007
Last updated
02/27/2012
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