KO-AM GWINNETT MEDICAL NPI 1588935589

NPI Information

NPI: 1588935589
Provider Name: KO-AM GWINNETT MEDICAL
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
6062 BUFORD HWY
SUITE 114
NORCROSS, GA
ZIP 30071
Phone: (770) 557-0203
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KO-AM GWINNETT MEDICAL is a general practice in Norcross, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee KO-AM GWINNETT MEDICAL NPI is 1588935589. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6062 BUFORD HWY
SUITE 114
NORCROSS, GA
ZIP 30071-424
Phone: (770) 557-0203
Fax: (678) 395-5453

The provider's authorized official is Jong Sang Won .
The authorized official title is Owner and has the following contact phone number (770) 557-0203.

The enumeration date for this NPI number is 1/23/2012 and was last updated on 8/2/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice				Yes

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: 5/5/2024

NPI Synchronization or Removal

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