Choices Gwinnett, Llc | |
2098 Teron Trce Suite 300 Dacula GA 30019-1663 | |
(404) 431-9895 | |
Not Available |
Full Name | Choices Gwinnett, Llc |
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Speciality | Community/behavioral Health |
Location | 2098 Teron Trce, Dacula, Georgia |
Authorized Official Name and Position | Debbie M Durand (OWNER) |
Authorized Official Contact | 4044319895 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Choices Gwinnett, Llc 2098 Teron Trce Suite 300 Dacula GA 30019-1663 Ph: (404) 431-9895 | Choices Gwinnett, Llc 2098 Teron Trce Suite 300 Dacula GA 30019-1663 Ph: (404) 431-9895 |
NPI Number | 1568691046 |
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Provider Enumeration Date | 07/06/2009 |
Last Update Date | 07/06/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1568691046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LPC4205 (Georgia) | Primary |
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