| NPI | 1780747469 |
|---|---|
| Former Legal Business Name | GWINNETT MEDICAL SERVICES, INC |
| Entity Type | Organization |
| Authorized Contact | STEVEN A RUBIN Executive Director 470-325-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207T00000X Neurological Surgery | |
| 208600000X Surgery | |
| 208000000X Pediatrics | |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2015-02-02 |