| Organization Name: | GWINNETT FAMILY PHYSICIANS |
| NPI Number: | 1588860050 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PAMELA JOY ABRAM (BUSINESS MANAGER) |
| Mailing Address: | 4585 Nelson Brogdon Blvd Sugar Hill |
| State: | GA US |
| Postal Code: | 305183466 |
| Phone Number: | 7709320547 |
| Fax Number: | 7709324035 |
| NPI Enumeration Date: | 06/22/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 2005476 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |