Cpmsc Gwinnett, Llc

NPI 1144516451 - Clinic/Center - 261QA1903X

NPI Details
NPI 1144516451
Enumeration Date 06/24/2011
Last Updated 06/24/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name RAJESH K. RAJESH
Position PRESIDENT
Phone (770) 948-6824
Fax (770) 948-6804
Practice Location
3870 MEDICAL PARK DR
AUSTELL GA, 30106-1110, US
Phone (770) 948-6824
Fax (770) 948-6804
Business Location
4799 SUGARLOAF PKWY
BLDG G
LAWRENCEVILLE GA, 30044-8836, US
Phone (770) 948-6824
Fax (770) 948-6804
Toxanomy
Taxonomy Code 261QA1903X
License State
License Number
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According to our database, Cpmsc Gwinnett, Llc NPI is 1144516451, taxonomy code is 261QA1903X Cpmsc Gwinnett, Llc physically located at 3870 Medical Park Dr, Austell GA, 30106-1110. NPI Number 1033115704 has the healthcare provider type.

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1144516451 NPI number is provided on an as is basis without warranty of any kind. 1144516451 is maintained by the National Plan & Provider Enumeration System. The contents of Cpmsc Gwinnett, Llc are for informational purposes only.