Organization
EMBRACE OF GWINNETT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID LITTLE (PRESIDENT)
(678) 755-7579
Entity
Organization
Contact information
Practice address
2992 MAIN ST W STE 104, SNELLVILLE, GA 30078-5735
(678) 755-7579
Mailing address
2992 MAIN ST W STE 104, SNELLVILLE, GA 30078-5735
(678) 755-7579
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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