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Contact Information

GWINNETT INFECTIOUS DISEASES PC
1960 RIVERSIDE PKWY
SUITE 101
LAWRENCEVILLE, GA30043-5945
 Phone: 770-995-0466
 Fax: 770-995-0472
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GWINNETT INFECTIOUS DISEASES PC

NPI Number 1679658702
LBN Legal business name GWINNETT INFECTIOUS DISEASES PC
Authorized official ELLIOT RAIZES - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/26/2006
Last updated 07/23/2012 - About 14 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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