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Contact Information

GWINNETT HOSPITAL SYSTEM TCCC LLC
631 PROFESSIONAL DR STE 450
LAWRENCEVILLE, GA30046-3370
 Phone: 770-963-8030
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GWINNETT HOSPITAL SYSTEM TCCC LLC

NPI Number 1972065852
LBN Legal business name GWINNETT HOSPITAL SYSTEM TCCC LLC
Authorized official THOMAS MCBRIDE - (EXECUTIVE VICE PRESIDENT/CFO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/01/2019
Last updated 04/01/2019 - About 7 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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