Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gwinnett Clinic, Ltd

Organization Legal Medicine · NPI 1215005715

Gwinnett Clinic, Ltd is a Legal Medicine in Lawrenceville, Georgia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
6
What do these letters mean?
Ltd — Limited
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1740 Lawrenceville Hwy
Lawrenceville, GA 30044-4609
Phone: (770) 995-5695
Fax: (678) 205-8210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Legal Medicine Taxonomy 173000000X
Allergy & Immunology Physician Taxonomy 207K00000X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1215005715
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deep Shah — Authorized Official · (770) 995-3300
NPI enumeratedDecember 1, 2006
Last updated in NPPESJanuary 25, 2023
Certification dateJanuary 25, 2023
Mailing address10600 Medlock Bridge Rd, Duluth, GA 30097-8404

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