National Provider Identifier Database

GWINNETT EMERGENCY SPECIALISTS PC
Children


Contact Information

GWINNETT EMERGENCY SPECIALISTS, P.C.
500 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA30046-8708
Phone: 678-312-3318
Fax: 678-312-4416
Website:
Specialty Taxonomy Code
* Children 282NC2000X

* Indicates primary specialty

NPI Profile & details for GWINNETT EMERGENCY SPECIALISTS, P.C.

NPI Number 1609244532
Legal business name
LBN
GWINNETT EMERGENCY SPECIALISTS, P.C.
Authorized official KATHLEEN KONDAS - (OFFICER)
Entity Organization
Organization subpart No
Enumeration date 09/09/2015
Last updated 08/27/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • GA License #: RN159452

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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