GWINNETT CENTER MEDICAL ASSOCIATES NPI 1811097181

NPI Information

NPI: 1811097181
Provider Name: GWINNETT CENTER MEDICAL ASSOCIATES
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
748 OLD NORCROSS RD
SUITE 185
LAWRENCEVILLE, GA
ZIP 30045
Phone: (770) 277-8554
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GWINNETT CENTER MEDICAL ASSOCIATES is a primary care clinic center in Lawrenceville, GA. GWINNETT CENTER MEDICAL ASSOCIATES NPI is 1811097181. The provider is registered as an organization entity type.

The provider's business location address is:

748 OLD NORCROSS RD
SUITE 185
LAWRENCEVILLE, GA
ZIP 30045-393
Phone: (770) 277-8554
Fax: (770) 277-1799

The provider's authorized official is Christopher Scott Crooker .
The authorized official title is Owner and has the following contact phone number (770) 277-8554.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 5/28/2008.

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	261QP2300X	Clinic/Center	Primary Care	039315	GEORGIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	300043932A	MEDICAID	GEORGIA
2	G34181	MEDICARE UPIN	GEORGIA
3	GRP4443	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA

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

NPI Synchronization or Removal

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