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Contact Information

MIRIAM P GENTIN, MD
4035 JOHNS CREEK PKWY STE C
SUWANEE, GA30024-1213
 Phone: 678-450-0202
 Fax: 678-971-6065
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MIRIAM P GENTIN · (Female)

NPI Number 1740283985
Status Active
Credentials MD
Entity Individual
Enumeration date 05/23/2005
Last updated 01/16/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 53311
  • GA Medicaid 363219785C
Hospital affiliation(s)
  • EMORY JOHNS CREEK HOSPITAL - (Acute Care)
    6325 HOSPITAL PARKWAY
    JOHNS CREEK, GA 30097
  • NORTHEAST GEORGIA MEDICAL CENTER INC - (Acute Care)
    743 SPRING STREET
    GAINESVILLE, GA 30501
  • NORTHSIDE HOSPITAL FORSYTH - (Acute Care)
    1200 NORTHSIDE FORSYTH DRIVE
    CUMMING, GA 30041
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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