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NORTH GWINNETT PRIMARY CARE NPI 1669653002


NPI Information

NPI: 1669653002
Provider Name: NORTH GWINNETT PRIMARY CARE
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2098 TERON TRCE
DACULA, GA
ZIP 30019
Phone: (678) 714-2070
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NORTH GWINNETT PRIMARY CARE is a primary care clinic center in Dacula, GA. NORTH GWINNETT PRIMARY CARE NPI is 1669653002. The provider is registered as an organization entity type.

The provider's business location address is:

2098 TERON TRCE
DACULA, GA
ZIP 30019-663
Phone: (678) 714-2070
Fax: (678) 714-2070

The provider's authorized official is Naren Logendra .
The authorized official title is President and has the following contact phone number (678) 714-2070.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 11/14/2007.


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
1261QP2300XClinic/CenterPrimary Care42336GEORGIAYes

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

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