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NPI Code Detail

MEDICARE: GWINNETT FAMILY PHYSICIANS

MEDICARE: GWINNETT FAMILY PHYSICIANS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician2005476GA

General Provider Information

NPI Number : 1588860050
Entity Type Code : Organization
Provider Name (Legal Business Name) : GWINNETT FAMILY PHYSICIANS
Provider Business Mailing Address
First Line : 4585 NELSON BROGDON BLVD
Second Line :
City : SUGAR HILL
State : GA
Zip : 30518-3466
Country : US
Telephone Number : 770-932-0547
Fax Number : 770-932-4035
Provider Business Practice Location Address
First Line : 4585 NELSON BROGDON BLVD
Second Line :
City : SUGAR HILL
State : GA
Zip : 30518-3466
Country : US
Telephone Number : 770-932-0547
Fax Number : 770-932-4035
Authorized Official
Title or Position : BUSINESS MANAGER
Name : MRS. PAMELA JOY ABRAM
Credential :
Telephone Number : 770-932-0547
Provider Enumeration Date : 06/22/2007
Last Update Date : 08/22/2020

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Directions to “GWINNETT FAMILY PHYSICIANS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.