Organization
AOA GWINNETT OPERATING COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE LYNN MCCORD MD (CEO)
(770) 350-0126
Entity
Organization
Contact information
Practice address
698 DULUTH HWY, LAWRENCEVILLE, GA 30046
(770) 962-8888
(770) 963-7447
Mailing address
3330 PRESTON RIDGE RD, SUITE 300, ALPHARETTA, GA 30005-4508
(770) 350-0126
(770) 350-6637
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/19/2006
Last updated
09/04/2014
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