A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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 |
| 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 |
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GWINNETT MEDICAL GROUP, INC
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