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ATLANTA GWINNETT WOMEN'S SPECIALISTS NPI 1619157989


NPI Information

NPI: 1619157989
Provider Name: ATLANTA GWINNETT WOMEN'S SPECIALISTS
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Organization
Address:
766 WALTHER RD
SUITE 100
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 963-2485
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ATLANTA GWINNETT WOMEN'S SPECIALISTS is an obstetrics gynecology in Lawrenceville, GA. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. ATLANTA GWINNETT WOMEN'S SPECIALISTS NPI is 1619157989. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

766 WALTHER RD
SUITE 100
LAWRENCEVILLE, GA
ZIP 30046-765
Phone: (770) 963-2485

The provider's authorized official is Lemuel G. Villanueva .
The authorized official title is President and has the following contact phone number (770) 963-2485.

The enumeration date for this NPI number is 11/5/2007 and was last updated on 12/9/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207V00000XObstetrics & Gynecology047375GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1530687225AMEDICAIDGEORGIA
2C45209MEDICARE UPIN
3000867292AMEDICAIDGEORGIA
4H86051MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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