NPI 1003089418

Gwinnett Multi Specialty Group LLC

Organisation Specialist Duluth, GA

Practice location

Address: 3840 Peachtree Industrial Boulevard, Duluth, GA 30096-4847
Phone: (770) 670-6565
Fax: (770) 670-6566

Authorised official

Name: Peter K Lee
Title: Managing Partner
Phone: (770) 607-6565

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 38545 (GA)

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Registry record

NPI: 1003089418
Entity type: Organization
NPI issued: 7 Apr 2008
Record last updated: 19 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.