| NPI | 1184667925 |
|---|---|
| Doing Business As | SOUTH GWINNETT FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARK PICKETT VP 770-982-9450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-08-22 |