Gwinnett Infectious Diseases PC
NPI #1679658702 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1679658702
- Entity Type
- Organization
- Organization Name
- Gwinnett Infectious Diseases PC
- Primary Specialty
- Internal Medicine - Infectious Disease
- Enumeration Date
- Oct 26, 2006
- Last Updated
- Jul 23, 2012
Practice Location
- Address
- 1960 RIVERSIDE PKWY
- Address 2
- SUITE 101
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30043-5945
- Phone
- (770) 995-0466
Authorized Official
- Name
- DR. ELLIOT G RAIZES, MD
- Title
- PRESIDENT
- Phone
- (770) 995-0466
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Infectious Disease — Infectious Disease |
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