| Gwinnett Infectious Diseases PC | |
|
1960 Riverside Pkwy Suite 101 Lawrenceville GA 30043-5945 | |
| (770) 995-0466 | |
| (770) 995-0472 |
| Full Name | Gwinnett Infectious Diseases PC |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 1960 Riverside Pkwy, Lawrenceville, Georgia |
| Authorized Official Name and Position | Elliot G Raizes (PRESIDENT) |
| Authorized Official Contact | 7709950466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gwinnett Infectious Diseases PC 1960 Riverside Pkwy Suite 101 Lawrenceville GA 30043-5945 Ph: (770) 995-0466 | Gwinnett Infectious Diseases PC 1960 Riverside Pkwy Suite 101 Lawrenceville GA 30043-5945 Ph: (770) 995-0466 |
| NPI Number | 1679658702 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 07/23/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679658702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | () | Primary |
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