| Summitridge Hospital | |
|
250 Scenic Hwy Lawrenceville GA 30045-5675 | |
| (678) 442-5900 | |
| (678) 442-5909 |
| Full Name | Summitridge Hospital |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 250 Scenic Hwy, Lawrenceville, Georgia |
| Authorized Official Name and Position | Delia Gonzalez (CFO) |
| Authorized Official Contact | 6784425942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summitridge Hospital 250 Scenic Hwy Lawrenceville GA 30045-5675 Ph: (678) 442-5900 | Summitridge Hospital 250 Scenic Hwy Lawrenceville GA 30045-5675 Ph: (678) 442-5900 |
| NPI Number | 1033359195 |
|---|---|
| Provider Enumeration Date | 03/03/2009 |
| Last Update Date | 03/03/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033359195 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 067648 (Georgia) | Primary |
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