Provider Demographics
NPI:1982981585
Name:HEALTH ASSOCIATES OF GWINNETT PC
Entity Type:Organization
Organization Name:HEALTH ASSOCIATES OF GWINNETT PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:OFFER
Authorized Official - Middle Name:
Authorized Official - Last Name:DANAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-369-1129
Mailing Address - Street 1:3316 S COBB DR SE STE A
Mailing Address - Street 2:STE: 105
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-4107
Mailing Address - Country:US
Mailing Address - Phone:404-369-1129
Mailing Address - Fax:
Practice Address - Street 1:3636 SATELLITE BLVD
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-4590
Practice Address - Country:US
Practice Address - Phone:404-369-1129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-10
Last Update Date:2011-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty