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NPI Profile for GWINNETT CLINIC LTD in ATLANTA, GA.
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Legal Medicine |
173000000X | |||
Multi-Specialty |
261QM1300X | 70 | Clinic or Group Practice |
| NPI # | 1952676496 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/16/2012 | |
| Last updated | 01/25/2023 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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GWINNETT CLINIC, LTD
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GWINNETT CLINIC, LTD