NPI | 1952676496 |
---|---|
Doing Business As | GWINNETT CLINIC , LTD |
Entity Type | Organization |
Authorized Contact | DEEP SHAH Authorized Official 770-995-3300 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 173000000X Legal Medicine |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2012-03-16 |
Last Update Date | 2023-01-25 |