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 1366453771

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

In the registry since
2006
Specialties on file
5
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

1390 W Spring St
Monroe, GA 30655-1759
Phone: (770) 266-6191
Fax: (770) 266-6707
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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
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1366453771
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deep Shah — Authorized Official · (770) 995-3300
NPI enumeratedAugust 10, 2006
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023
Mailing address10600 Medlock Bridge Rd, Duluth, GA 30097-8404

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