Gwinnett Supply Company LLC
NPI #1467659144 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1467659144
- Entity Type
- Organization
- Organization Name
- Gwinnett Supply Company LLC
- Primary Specialty
- Durable Medical Equipment & Medical Supplies - Dialysis Equipment & Supplies
- Enumeration Date
- Jun 27, 2007
- Last Updated
- Feb 27, 2019
Practice Location
- Address
- 605 OLD NORCROSS RD
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30046-4315
- Phone
- (770) 962-1231
Authorized Official
- Name
- DR. KIRTI K SHAH, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (770) 962-1231
Specialties & Taxonomy Codes
| Specialty |
|---|
| Durable Medical Equipment & Medical Supplies - Dialysis Equipment & Supplies — Dialysis Equipment & Supplies |
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