Organization
GWINNETT MULTI SPECIALTY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER K LEE MD (OWNER)
(770) 907-7222
Entity
Organization
Contact information
Practice address
34 UPPER RIVERDALE RD., SUITE 100A, RIVERDALE, GA 30274
(770) 907-7222
(770) 991-3154
Mailing address
34 UPPER RIVERDALE RD., SUITE 100A, RIVERDALE, GA 30274
(770) 907-7222
(770) 991-3154
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
GA
Other
Enumeration date
04/11/2008
Last updated
05/19/2008
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