Graduated: 2020
NPI: 1669087516
Practice Locations (2)
GWINNETT PHYSICIAN GROUP, LLC
1000 MEDICAL CTR BLVD
LAWRENCEVILLE, GA 300467694
6783124321
GWINNETT PHYSICIAN GROUP, LLC
631 PROFESSIONAL DR, SUITE 360
LAWRENCEVILLE, GA 300463370
6783123290
Source: CMS National Downloadable File, September 2026.