Individual
GINA P LUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
137 JOHNSON FERRY RD, SUITE 1200, MARIETTA, GA 30068-4945
(678) 843-9601
(678) 843-9650
Mailing address
1838 AMERICAN WAY, LAWRENCEVILLE, GA 30043-6611
(770) 995-7622
(770) 995-7854
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
032458
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000604172N
—
GA
05
—
000604172P
—
GA
05
—
00604172A
—
GA
05
—
00604172O
—
GA
Enumeration date
07/25/2006
Last updated
03/27/2013
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