Gwinnett Clinic, Ltd

NPI #1609944115 in Braselton, Georgia

Provider Information

NPI Number
1609944115
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
5196 HIGHWAY 53
State
Georgia
ZIP Code
30517-3112
Phone
(706) 824-9929

Authorized Official

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

Specialties & Taxonomy Codes

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

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