NPI Database
Lookup NPI Numbers from the NPI Registry

Contact Information

GWINNETT CLINIC, LTD
10600 MEDLOCK BRIDGE RD
DULUTH, GA30097-8404
 Phone: 770-418-0818
 Fax: 678-206-0156
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Legal Medicine

173000000X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for GWINNETT CLINIC, LTD

NPI # 1164590576
LBN Legal business name GWINNETT CLINIC, LTD
Authorized official DEEP SHAH - (AUTHORIZED OFFICIAL)
Entity Organization
Organization subpart 1 No
Enumeration date 12/01/2006
Last updated 01/25/2023 - About 3 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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