Greater Gwinnett Physician Practice Company
Greater Gwinnett Physician Practice Company is a Family Medicine Physician in Lilburn, Georgia. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
4120 Five Forks Trickum Rd SW Ste 105Lilburn, GA 30047-3130
Phone: (770) 921-6900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1891737425 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chuck Locke — Vp · (800) 661-3365 |
| Other names | Mountain East Family Medicine |
| NPI enumerated | June 11, 2006 |
| Last updated in NPPES | August 29, 2007 |
| Mailing address | 4120 Five Forks Trickum Rd Sw, Suite 105, Lilburn, GA 30047-3130 |
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