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Northeast Georgia Gynecology
Medical Specialty Clinic/Center in Gainesville, Georgia
NPI 1194991695

Northeast Georgia Gynecology is a Medical Specialty Clinic/Center based in Gainesville, GA and is specialized in Medical Specialty. Northeast Georgia Gynecology practices in Gainesville, GA. The NPI Number for Northeast Georgia Gynecology is 1194991695 and holds a License No. 046837 (Georgia).

The current practice location address for Northeast Georgia Gynecology is 440 Washington St Se, Gainesville, GA and can be reached out via phone at 770-532-9250 and via fax at 770-532-4242.

Location: 440 Washington St Se, Gainesville, GA, 30501-3619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194991695
Provider Name
Northeast Georgia Gynecology
Credential
Provider Entity Type
Organization
Address
440 Washington St Se, Gainesville, GA, 30501-3619
Phone Number
770-532-9250
Fax Number
770-532-4242
Provider Enumeration Date
05/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GRP6368 01 GA MEDICARE GROUP PIN
institution
Provider Business Practice Location Address Details
Address
440 Washington St Se
City
Gainesville
State
Georgia
Zip
30501-3619
Phone Number
770-532-9250
Fax Number
770-532-4242
person
Provider Business Mailing Address Details
Address
440 Washington St Se
City
Gainesville
State
Georgia
Zip
30501-3619
Phone Number
770-532-9250
Fax Number
770-532-4242
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
046837 (Georgia)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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