Ko-Am Gwinnett Medical
Ko-Am Gwinnett Medical provides General Practice Physician services in Norcross, Georgia. Registered with an NPI since 2012.
- In the registry since
- 2012
Practice location Address checks out
6062 Buford Hwy Ste 114Norcross, GA 30071-2424 Not confirmed with CMS for 14 years — call before visiting
Phone: (770) 557-0203
Fax: (678) 395-5453
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Physician (primary) | Taxonomy 208D00000X |
|---|
Record details
| NPI number | 1588935589 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jong Won — Owner · (770) 557-0203 |
| NPI enumerated | January 23, 2012 |
| Last updated in NPPES | August 2, 2012 |
| Mailing address | 6062 Buford Hwy, Suite 114, Norcross, GA 30071-2424 |
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