| Iwc East Llc | |
|
40 Technology Parkway #300 Norcross GA 30092 | |
| (404) 423-6840 | |
| Not Available |
| Full Name | Iwc East Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 40 Technology Parkway, Norcross, Georgia |
| Authorized Official Name and Position | Shue Kothari (OWNER) |
| Authorized Official Contact | 4044236840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iwc East Llc 40 Technology Parkway #300 Norcross GA 30092 Ph: () - | Iwc East Llc 40 Technology Parkway #300 Norcross GA 30092 Ph: (404) 423-6840 |
| NPI Number | 1598205239 |
|---|---|
| Provider Enumeration Date | 02/28/2017 |
| Last Update Date | 02/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598205239 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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