Gwinnett Physician Group, LLC
NPI #1578574661 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1578574661
- Entity Type
- Organization
- Organization Name
- Gwinnett Physician Group, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- NORTHSIDE HOSPITAL, INC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Aug 11, 2006
- Last Updated
- Jun 2, 2025
Practice Location
- Address
- 1000 MEDICAL CENTER BLVD
- Address 2
- MOB 100 SUITE 210
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30046-7694
- Phone
- (855) 709-4535
Authorized Official
- Name
- MR. JORGE HERNANDEZ
- Title
- EXECUTIVE DIRECTOR
- Phone
- (404) 851-6378
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Obstetrics & Gynecology |
| Internal Medicine |
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