Organization · Type 2 NPI

Gwinnett Clinic, Ltd

Multi-Specialty Clinic/Center · Braselton, GA

NPI number 1609944115 Active

Practice location

5196 Highway 53
Braselton, GA 30517-3112

Fax (706) 654-9373

Mailing address

10600 Medlock Bridge Rd
Duluth, GA 30097-8404

Specialties and licenses

TaxonomyCodeLicense
Legal Medicine 173000000XNone listed
Family Medicine Physician 207Q00000XNone listed
Internal Medicine Physician 207R00000XNone listed
Geriatric Medicine (Internal Medicine) Physician 207RG0300XNone listed
Multi-Specialty Clinic/Center Primary 261QM1300XNone listed
Nurse Practitioner 363L00000XNone listed

Multi-Specialty Clinic/Center: Definition to come...

About NPI 1609944115

Gwinnett Clinic, Ltd's National Provider Identifier is 1609944115, issued on Dec 1, 2006. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Braselton, GA. The record was last updated on Jan 25, 2023.