Provider Demographics
NPI:1710037064
Name:GENERAL SURGEONS OF GWINNETT, INC.
Entity Type:Organization
Organization Name:GENERAL SURGEONS OF GWINNETT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:GORDON
Authorized Official - Middle Name:B
Authorized Official - Last Name:WERBEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-978-0561
Mailing Address - Street 1:1800 TREE LN
Mailing Address - Street 2:SUITE 330
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-4700
Mailing Address - Country:US
Mailing Address - Phone:770-978-0561
Mailing Address - Fax:770-978-0546
Practice Address - Street 1:1800 TREE LN
Practice Address - Street 2:SUITE 330
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-4700
Practice Address - Country:US
Practice Address - Phone:770-978-0561
Practice Address - Fax:770-978-0546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-11
Last Update Date:2007-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty