Organization · Type 2 NPI
Gwinnett Clinic, Ltd
Multi-Specialty Clinic/Center · Dacula, GA
NPI number
1467463885
Active
Practice location
2327 Highway 29 E
Dacula, GA 30019-2205
Fax (770) 962-1747
Mailing address
10600 Medlock Bridge Rd
Duluth, GA 30097-8404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Legal Medicine | 173000000X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
About NPI 1467463885
Gwinnett Clinic, Ltd's National Provider Identifier is 1467463885, issued on Aug 10, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Dacula, GA. The record was last updated on Jan 25, 2023.