Organization
GWINNETT INFECTIOUS DISEASES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELLIOT G RAIZES MD (PRESIDENT)
(770) 995-0466
Entity
Organization
Contact information
Practice address
1960 RIVERSIDE PKWY, SUITE 101, LAWRENCEVILLE, GA 30043-5945
(770) 995-0466
(770) 995-0472
Mailing address
1960 RIVERSIDE PKWY, SUITE 101, LAWRENCEVILLE, GA 30043-5945
(770) 995-0466
(770) 995-0472
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
10/26/2006
Last updated
07/23/2012
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