Gwinnett Pediatrics & Adolescent Medicine

NPI #1003940909 in Lawrenceville, Georgia

Provider Information

NPI Number: 1003940909
Entity Type: Organization
Organization Name: Gwinnett Pediatrics & Adolescent Medicine
Primary Specialty: Pediatrics
Enumeration Date: Mar 15, 2007
Last Updated: Dec 19, 2016

Practice Location

Address: 595 HURRICANE SHOALS RD NW
Address 2: SUITE 300
City: Lawrenceville
State: Georgia
ZIP Code: 30046
Phone: (770) 995-0823

Authorized Official

Name: MRS. DEBBIE SUE MAUND
Title: PRACTICE ADMINISTRATOR
Phone: (770) 995-0823

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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