GWINNETT MULTI SPECIALTY GROUP LLC


Address: 34 Upper Riverdale Rd., Suite 100a, Riverdale, GA 30274
Phone: 7709077222

GWINNETT MULTI SPECIALTY GROUP LLC (NPI# 1982877890) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982877890
Entity Type Organization
Organization Name GWINNETT MULTI SPECIALTY GROUP LLC
Practice Address 34 Upper Riverdale Rd.
Suite 100a
Riverdale
GA 30274
Practice Telephone 7709077222
Practice Fax Number 7709913154
Mailing Telephone 7709077222
Mailing Fax Number 7709913154
Enumeration Date 2008-04-11
Last Update Date 2008-05-19
Authorized Official Name DR. PETER K LEE (OWNER)
Authorized Official Telephone 7709077222
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist GA Other Service Providers

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1003089418 Gwinnett Multi Specialty Group LLC Specialist 3840 Peachtree Industrial Boulevard, Duluth, GA 30096-4847 2008-04-07

Office Location

Street Address 34 UPPER RIVERDALE RD.
SUITE 100A
City RIVERDALE
State GA
Zip Code 30274

Providers in the same location

NPI Name Taxonomy Address Enumeration
1548657950 Vitalistic Chiropractic Chiropractor 34 Upper Riverdale Rd., Riverdale, GA 30274 2015-04-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245862507 Todd L. Reed Chiropractor 83 Upper Riverdale Rd, Riverdale, GA 30274 2020-02-05
1487135992 Freddie L Sallette IIi Technician, Pathology 385 Brookview Dr, Riverdale, GA 30274 2018-08-22
1366933210 Dawn A. Paul Nurse Practitioner 238 Professional Ct Ste A, Riverdale, GA 30274 2018-05-27
1851894588 Absolute Health Family & Urgent Care Clinic Clinic/Center 7574 Ga 85, Riverdale, GA 30274 2018-03-08
1366972127 Jamillah Ingram Physical Therapy Assistant 315 Upper Riverdale Rd., Riverdale, GA 30274 2017-06-14
1114456514 Grace L Kelson Licensed Practical Nurse 9142 Clubhouse Dr, Riverdale, GA 30274 2017-06-08
1790167799 Cristian Carbuccia Internal Medicine 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 2015-06-25
1265857692 Right Choice Enterprises LLC Technician 638 Sterling Ct, Riverdale, GA 30274 2014-02-21
1942571625 Lowes Guardian Angel LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7056 Eunice Dr., Riverdale, GA 30274 2012-01-26
1508134156 Education System Management, Inc Social Worker 125 Highway 138, Riverdale, GA 30274 2011-12-12
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659780393 New Beginnings Hair Studio Phasei,llc Specialist 1254 Highway 138 Sw, Riverdale, GA 30296-1402 2014-08-07
1447595848 Joanna Paganotti Specialist 39 Newark Pompton Tpke, Riverdale, NJ 07457-1144 2012-12-11
1588868798 Just for Women Specialist 823 Highway 138 Sw, Riverdale, GA 30296-3362 2007-06-12
1336352699 Daniel Robins Specialist 6572 River Park Dr. Ste 101, Riverdale, GA 30274-2550 2007-05-07
1619047073 Associates for Women's Care, LLP Specialist The Whitehall, Suite 1c, 3333 Henry Hudson Parkway, Riverdale, NY 10463 2006-11-09
1740393115 Kathryn Rose Clayton Specialist 107 Highland Dr, Riverdale, GA 30296-1115 2006-08-17
1639109424 Joseph N. Saba Specialist 6285 Garden Walk Blvd, Suite C, Riverdale, GA 30274-2612 2006-07-04
1306881362 Hina Hussain Specialist 223 Medical Center Dr, Riverdale, GA 30274-2640 2006-06-16
1417921552 Carlette Graham Specialist 6572 River Park Dr, Ste 101, Riverdale, GA 30274-2550 2006-02-15
1487628509 Nathan Lipsett Specialist 6572 River Park Dr Ste 101, Riverdale, GA 30274-2615 2006-02-15
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Competitor

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City RIVERDALE
Zip Code 30274

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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