Organization
GWINNETT SURGICAL SPECIALISTS PROFESSIONAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORGE J HERNANDEZ (VP ADMIN SRVS./CCO)
(404) 851-6378
Entity
Organization
Contact information
Practice address
631 PROFESSIONAL DR STE 300, LAWRENCEVILLE, GA 30046-3371
(855) 709-4535
Mailing address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(404) 851-6378
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/15/2019
Last updated
06/02/2025
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