Organization
GWINNETT HEART SPECIALISTS LLC
Active
Parent organization
GWINNETT MEDICAL GROUP INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GWINNETT MEDICAL GROUP INC
Authorized official
STEVEN A RUBIN (EXECUTIVE DIRECTOR)
(678) 312-3050
Entity
Organization
Contact information
Practice address
766 WALTHER RD, SUITE 100, LAWRENCEVILLE, GA 30046-8764
(678) 312-5625
(770) 339-2120
Mailing address
766 WALTHER RD, SUITE 100, LAWRENCEVILLE, GA 30046-8764
(678) 312-5625
(770) 339-2120
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
11/28/2012
Last updated
12/10/2012
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