Organization
GP WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVINDERPAL K GILL MD (PRESIDENT)
(770) 485-3458
Entity
Organization
Contact information
Practice address
4855 FLOYD RD SW, SUITE 104, MABLETON, GA 30126-1323
(770) 485-3458
(770) 575-1050
Mailing address
4855 FLOYD RD SW, SUITE 104, MABLETON, GA 30126-1323
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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