Gwinnett Clinic, Ltd
NPI #1255342630 in Loganville, Georgia
Provider Information
- NPI Number
- 1255342630
- Entity Type
- Organization
- Organization Name
- Gwinnett Clinic, Ltd
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Aug 10, 2006
- Last Updated
- Jan 24, 2023
Practice Location
- Address
- 4397 ATLANTA HWY
- City
- Loganville
- State
- Georgia
- ZIP Code
- 30052-2642
- Phone
- (770) 554-0800
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-Specialty — Multi-Specialty |
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