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Contact Information

GWINNETT MEDICAL GROUP, INC
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA30046-7694
 Phone: 678-312-5525
 Fax: 770-339-2120
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Neurological Surgery

207T00000X 02 Physician/General Surgery
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for GWINNETT MEDICAL GROUP, INC

NPI Number 1780747469
LBN Legal business name GWINNETT MEDICAL GROUP, INC
Authorized official STEVEN RUBIN - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2006
Last updated 02/02/2015 - About 11 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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