| Medlink Gwinnett | |
|
980 Lawrenceville Hwy Lawrenceville GA 30046-4706 | |
| (770) 676-6500 | |
| Not Available |
| Full Name | Medlink Gwinnett |
|---|---|
| Speciality | Clinic/Center |
| Location | 980 Lawrenceville Hwy, Lawrenceville, Georgia |
| Authorized Official Name and Position | Dave Ward (CEO) |
| Authorized Official Contact | 7067883234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medlink Gwinnett Po Box 459 Colbert GA 30628-0459 Ph: (706) 788-3234 | Medlink Gwinnett 980 Lawrenceville Hwy Lawrenceville GA 30046-4706 Ph: (770) 676-6500 |
| NPI Number | 1649829532 |
|---|---|
| Provider Enumeration Date | 09/04/2019 |
| Last Update Date | 02/17/2022 |
| Medicare PECOS PAC ID | 3274442850 |
|---|---|
| Medicare Enrollment ID | O20191111001269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649829532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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