Gwinnett Multi Specialty Group Llc

NPI 1003089418 - Specialist - 174400000X

NPI Details
NPI 1003089418
Enumeration Date 04/07/2008
Last Updated 05/19/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name PETER K PETER
Position MANAGING PARTNER
Phone (770) 670-6565
Fax (770) 670-6566
Practice Location
3840 PEACHTREE INDUSTRIAL BOULEVARD
DULUTH GA, 30096-4847, US
Phone (770) 670-6565
Fax (770) 670-6566
Business Location
3840 PEACHTREE INDUSTRIAL BOULEVARD
DULUTH GA, 30096-4847, US
Phone (770) 670-6565
Fax (770) 670-6566
Toxanomy
Taxonomy Code 174400000X
License State Georgia
License Number 38545
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According to our database, Gwinnett Multi Specialty Group Llc NPI is 1003089418, taxonomy code is 174400000X and license number is 38545, license state is located at Georgia. Gwinnett Multi Specialty Group Llc physically located at 3840 Peachtree Industrial Boulevard, Duluth GA, 30096-4847. NPI Number 1033115704 has the healthcare provider type.

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1003089418 NPI number is provided on an as is basis without warranty of any kind. 1003089418 is maintained by the National Plan & Provider Enumeration System. The contents of Gwinnett Multi Specialty Group Llc are for informational purposes only.