Gwinnett OB GYN Assoc. 2 LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

GWINNETT OB GYN ASSOC. 2 LLC

Practice address

1700 Tree LN
Suite 290
Snellville, GA 30078-6782

Phone

(404) 943-0205

NPI assigned

Mar 5, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alicia Holden, ACCOUNTING

Title

Lead

Phone

(404) 943-0205

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831228865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 468329",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311468329",
            "telephone_number": "404-943-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 TREE LN",
            "address_2": "SUITE 290",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786782",
            "telephone_number": "404-943-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GWINNETT OB GYN ASSOC. 2 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "LEAD",
        "authorized_official_telephone_number": "404-943-0205",
        "authorized_official_credential": "ACCOUNTING"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gwinnett Nephrology LLC
• Gwinnett OB GYN Associates of Georgia II, LLC
• Gwinnett OB-GYN Associates, P.C..
• Gwinnett OB/GYN Associates of Georgia, LLC
• Gwinnett Orthopedics PC
• Gwinnett Physical Therapy

• Emergency Medicine Physician in Snellville, GA
• Providers in Snellville, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.