NEW SNELLVILLE CLINIC NPI 1639319502

NPI Information

  • NPI: 1639319502
  • Provider Name: NEW SNELLVILLE CLINIC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 2331 HENRY CLOWER BLVD
    SUITE A
    SNELLVILLE, GA
    ZIP 30078
  • Phone: (770) 736-1735

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NPI Details

NEW SNELLVILLE CLINIC is an internal medicine in Snellville, 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. NEW SNELLVILLE CLINIC NPI is 1639319502. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2331 HENRY CLOWER BLVD
SUITE A
SNELLVILLE, GA
ZIP 30078-155
Phone: (770) 736-1735
Fax: (770) 736-1228

The provider's authorized official is Gary C Couillard .
The authorized official title is Operations Director and has the following contact phone number (770) 736-1735.

The enumeration date for this NPI number is 3/4/2009 and was last updated on 3/4/2009.

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
1207RG0300XInternal MedicineGeriatric Medicine043268GEORGIANo
2208D00000XGeneral Practice043268GEORGIANo
3207R00000XInternal Medicine043268GEORGIAYes

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: 11/21/2025

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