Whalio Doctors

NPI 1780747469

Gwinnett Medical Group, INC

Organisation General Practice Physician Lawrenceville, GA

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
Allopathic & Osteopathic Physicians Taxonomy 208D00000X
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X
Internal Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207R00000X
Neurological Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 207T00000X
Pediatrics Physician
Allopathic & Osteopathic Physicians Taxonomy 208000000X
Surgery Physician
Allopathic & Osteopathic Physicians Taxonomy 208600000X

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.