Provider Demographics
NPI:1710371885
Name:GWINNETT URGENT AND FAMILY CARE, LLC
Entity Type:Organization
Organization Name:GWINNETT URGENT AND FAMILY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TONG
Authorized Official - Middle Name:M
Authorized Official - Last Name:HUYNH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:470-275-4911
Mailing Address - Street 1:4775 JIMMY CARTER BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30093-3760
Mailing Address - Country:US
Mailing Address - Phone:470-275-4911
Mailing Address - Fax:470-275-4918
Practice Address - Street 1:4775 JIMMY CARTER BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:NORCROSS
Practice Address - State:GA
Practice Address - Zip Code:30093-3760
Practice Address - Country:US
Practice Address - Phone:470-275-4911
Practice Address - Fax:470-275-4918
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-26
Last Update Date:2016-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center