| North Gwinnett Healthcare, Llc | |
|
5557 Aviemore Ct Suwanee GA 30024-7524 | |
| (404) 390-5587 | |
| Not Available |
| Full Name | North Gwinnett Healthcare, Llc |
|---|---|
| Speciality | Family Medicine - Adult Medicine |
| Location | 5557 Aviemore Ct, Suwanee, Georgia |
| Authorized Official Name and Position | Emem Udo (OWNER) |
| Authorized Official Contact | 4043905587 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Gwinnett Healthcare, Llc 5557 Aviemore Ct Suwanee GA 30024-7524 Ph: (404) 390-5587 | North Gwinnett Healthcare, Llc 5557 Aviemore Ct Suwanee GA 30024-7524 Ph: (404) 390-5587 |
| NPI Number | 1285356386 |
|---|---|
| Provider Enumeration Date | 09/15/2022 |
| Last Update Date | 09/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285356386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QA0505X | Family Medicine - Adult Medicine | (* (Not Available)) | Primary |
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