NPI | 1619242302 |
---|---|
Doing Business As | GWINNETT CLINIC |
Entity Type | Organization |
Authorized Contact | JAYENDRAKUMAR J SHAH President 770-995-3300 |
Organization Subpart ? | Yes |
Primary Taxonomy | 173000000X Legal Medicine |
Additional Taxonomies | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic |
Enumeration Date | 2012-03-14 |
Last Update Date | 2021-07-12 |