Healthcare Provider Details

I. General information

NPI: 1932934593
Provider Name (Legal Business Name): GWINNETT COUNTY HEALTH DEPT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/04/2024
Last Update Date: 09/04/2024
Certification Date: 09/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3025 BETHANY CHURCH RD
SNELLVILLE GA
30039-6109
US

IV. Provider business mailing address

PO BOX 897
LAWRENCEVILLE GA
30046-0897
US

V. Phone/Fax

Practice location:
  • Phone: 770-339-4260
  • Fax: 866-359-1351
Mailing address:
  • Phone: 703-394-2607
  • Fax: 866-359-1351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH STERNBERG
Title or Position: COO
Credential:
Phone: 678-376-3217