Gwinnett Supply Company Llc

LBN: Gwinnett Supply Company Llc
Gwinnett Supply Company Llc is an health care organization with primary practice located at 605 Old Norcross Rd , Lawrenceville GA 30046-4315. The organization recently has only one registered license in Suppliers / Dialysis Equipment & Supplies, which is considered as the primary health care specialty. Gwinnett Supply Company Llc can be contacted via phone (770) 962-1231, or through Shah, Kirti K via phone (770) 962-1231.

Contact Information

Primary practice address
605 Old Norcross Rd Lawrenceville GA 30046-4315
Phone: (770) 962-1231
Fax: (770) 513-2107
Website:
Map and Directions
Authorized official contact:
Name: Shah, Kirti K Doctor of Medicine (MD)
Phone: (770) 962-1231

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Dialysis Equipment & Supplies 332BD1200X

Profile Details

NPI number 1467659144
LBN Legal business name Gwinnett Supply Company Llc
DBA Doing business as
Authorized official Shah, Kirti K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2007
Last updated Feb 27th, 2019 - about 5 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 1467659144 NPPES
Georgia MEDICAID 000784693A

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