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General NPI Number Information
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NPI Number | 1265252712
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Entity Type | Organization
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Legal Business Name | GWINNETT SURGICAL SPECIALISTS LLC
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 500 MEDICAL CENTER BLVD
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-8708
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Country | US
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Telephone | 770-762-9977
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Fax | 770-339-9804
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Provider Business Mailing Address
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Address Line | 500 MEDICAL CENTER BLVD STE 330
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City | LAWRENCEVILLE
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State | GA
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Zip | 30046-3332
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Country | US
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Telephone | 770-762-9977
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Fax | 770-339-9804
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Authorized Official
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Title or Position | OWNER
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Name | DR. JEAN-CLAUDE DAVID SCHWARTZ
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Credential | MD
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Telephone | 912-531-9885
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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