Gwinnett Family Medicine

LBN: Gwinnett Family Medicine
Gwinnett Family Medicine is an health care organization with primary practice located at 510 Grayson Hwy , Lawrenceville GA 30045-6332. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Gwinnett Family Medicine can be contacted via phone (770) 995-9565, or through Ali, Syed A via phone (770) 910-2377.

Contact Information

Primary practice address
510 Grayson Hwy Lawrenceville GA 30045-6332
Phone: (770) 995-9565
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ali, Syed A
Phone: (770) 910-2377

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 52073 Georgia

Profile Details

NPI number 1619166717
LBN Legal business name Gwinnett Family Medicine
DBA Doing business as
Authorized official Ali, Syed A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2007
Last updated Feb 27th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619166717 NPPES
Georgia MEDICAID 189134074A

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