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GWINNETT CLINIC LTD NPI 1386750701


NPI Information

NPI: 1386750701
Provider Name: GWINNETT CLINIC, LTD
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 11D1006538

Address:
3068 OLD NORCROSS RD
DULUTH, GA
ZIP 30096
Phone: (770) 925-7232
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GWINNETT CLINIC, LTD is a multi-specialty clinic center in Duluth, GA. GWINNETT CLINIC, LTD NPI is 1386750701. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3068 OLD NORCROSS RD
DULUTH, GA
ZIP 30096-914
Phone: (770) 925-7232
Fax: (770) 638-3315

The provider's authorized official is Deep Shah .
The authorized official title is Authorized Official and has the following contact phone number (770) 995-3300.

The CLIA number assigned to this NPI record is 11D1006538 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/21/2006 and was last updated on 1/24/2023.


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
1173000000XLegal MedicineNo
2207Q00000XFamily MedicineNo
3207R00000XInternal MedicineNo
4363L00000XNurse PractitionerNo
5261QM1300XClinic/CenterMulti-SpecialtyYes

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.