Gwinnett Clinic, Ltd

NPI #1013085513 in Tucker, Georgia

Provider Information

NPI Number
1013085513
Entity Type
Organization
Organization Name
Gwinnett Clinic, Ltd
Primary Specialty
Clinic/Center - Multi-Specialty
Enumeration Date
Dec 1, 2006
Last Updated
Jan 25, 2023

Practice Location

Address
4870 LAWRENCEVILLE HWY
City
Tucker
State
Georgia
ZIP Code
30084-2952
Phone
(770) 496-1429

Authorized Official

Name
DEEP SHAH, MD, MSC
Title
AUTHORIZED OFFICIAL
Phone
(770) 995-3300

Specialties & Taxonomy Codes

Specialty
Legal Medicine
Family Medicine
Internal Medicine
Nurse Practitioner
Clinic/Center - Multi-SpecialtyMulti-Specialty

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