Organization
NORTH GWINNETT PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAREN LOGENDRA M.D. (PRESIDENT)
(678) 714-2070
Entity
Organization
Contact information
Practice address
2098 TERON TRCE, DACULA, GA 30019-1663
(678) 714-2070
(678) 714-2070
Mailing address
PO BOX 993, DULUTH, GA 30096-0018
(678) 612-1994
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
42336
GA
Other
Enumeration date
11/14/2007
Last updated
11/14/2007
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