Pet Imaging Center of Gwinnett LLC
NPI #1750699005 in Lawrenceville, Georgia
Provider Information
- NPI Number
- 1750699005
- Entity Type
- Organization
- Organization Name
- Pet Imaging Center of Gwinnett LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- TRIDENT MEDICAL IMAGING
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Sep 21, 2010
- Last Updated
- Sep 21, 2010
Practice Location
- Address
- 555 OLD NORCROSS RD
- Address 2
- 115
- City
- Lawrenceville
- State
- Georgia
- ZIP Code
- 30046-8716
- Phone
- (770) 277-0501
Authorized Official
- Name
- CRYSTAL GATES
- Title
- DIRECTOR OF PATIENT ACCOUNTS
- Phone
- (770) 692-1387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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