NPI 1326144734

Gwinnett Center Medical Associates

Organisation Medical Physician Assistant Lawrenceville, GA

Practice location

Address: 748 Old Norcross Rd Suite 185, Lawrenceville, GA 30045-3393
Phone: (770) 277-8554
Fax: (770) 277-1799

Authorised official

Name: Richard G Petit
Title: Physician's Assistant
Phone: (770) 277-8554

Registered specialties

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 001435 (GA)

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Registry record

NPI: 1326144734
Entity type: Organization
NPI issued: 15 Sep 2006
Record last updated: 22 Aug 2020

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.