Organization
GWINNETT HOSPITAL SYSTEM, INC.
Active
Organization
GWINNETT HOSPITAL SYSTEM, INC.
Active
Other names
SummitRidge Center for Psychiatry and Addiction Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS Y MCBRIDE III (SR. VP., CHIEF FINANCIAL OFFICER)
(678) 442-4308
Entity
Organization
Contact information
Practice address
250 SCENIC HWY, LAWRENCEVILLE, GA 30045-5675
(678) 442-5622
(770) 339-3459
Mailing address
PO BOX 1190, LAWRENCEVILLE, GA 30046-1190
(678) 442-5622
(770) 339-3459
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
067-460
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000294A
—
GA
Enumeration date
07/03/2006
Last updated
07/26/2007
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