NPI 1780747469
Gwinnett Medical Group, INC
Practice location
- Address
- 1000 Medical Center Blvd, Lawrenceville, GA 30046-7694
- Phone
- (678) 312-5525
- Fax
- (770) 339-2120
- Mailing address
- PO Box 116156, Atlanta, GA 30368-6156
Authorised official
- Name
- Steven a Rubin
- Title
- Executive Director
- Phone
- (470) 325-0150
Registered specialties (6)
General Practice Physician
Primary
Family Medicine Physician
Internal Medicine Physician
Neurological Surgery Physician
Pediatrics Physician
Surgery Physician
Registry record
- NPI
- 1780747469
- Entity type
- Organization
- NPI issued
- 18 Dec 2006
- Record last updated
- 2 Feb 2015
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.