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GWINNETT INTERNAL MEDICINE ASSOCIATES LLC NPI 1396803755


NPI Information

NPI: 1396803755
Provider Name: GWINNETT INTERNAL MEDICINE ASSOCIATES LLC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
601 OLD NORCROSS RD
STE A
LAWRENCEVILLE, GA
ZIP 30046
Phone: (770) 963-2474
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GWINNETT INTERNAL MEDICINE ASSOCIATES LLC is an internal medicine in Lawrenceville, GA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. GWINNETT INTERNAL MEDICINE ASSOCIATES LLC NPI is 1396803755. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

601 OLD NORCROSS RD
STE A
LAWRENCEVILLE, GA
ZIP 30046-311
Phone: (770) 963-2474
Fax: (770) 963-2476

The provider's authorized official is Lynda Gearhart .
The authorized official title is Practice Mgr. and has the following contact phone number (770) 963-2474.

The enumeration date for this NPI number is 12/5/2006 and was last updated on 2/18/2011.


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
1207R00000XInternal Medicine19511GEORGIAYes

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
1D45213MEDICARE UPINGEORGIA
2D45213MEDICARE PINGEORGIA
311BDLXJMEDICARE PINGEORGIA
4G39541MEDICARE UPINGEORGIA
5G45206MEDICARE UPINGEORGIA
6119525393BMEDICARE PINGEORGIA
7119524780CMEDICARE PINGEORGIA
8337647983AMEDICARE PINGEORGIA
911SCFRTMEDICARE PINGEORGIA
10C35215MEDICARE PINGEORGIA
11E00995MEDICARE UPINGEORGIA

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

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