Gwinnett Spine And Sports Rehab, P.C.
Chiropractor in Suwanee, GA. Organization (NPI-2).
NPI number1194403790
StatusActive
Last updated in NPPESJul 5, 2023
Details
- NPI
- 1194403790
- Entity type
- Organization (NPI-2)
- Legal business name
- Gwinnett Spine And Sports Rehab, P.C.
- Organization subpart
- No
- Enumeration date
- Jul 5, 2023
- Certification date
- Jul 5, 2023
- Last updated
- Jul 5, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Other names
- Gwinnett Spine Posture Rehab (Doing Business As)
Practice location
3131 Lawrenceville Suwanee Rd Ste C7Suwanee, GA 30024-6549
Phone 770-500-2439 · Fax 470-713-5369
Mailing address
3131 Lawrenceville Suwanee Rd Ste C7Suwanee, GA 30024-6549
Phone 770-500-2439 · Fax 470-713-5369
Authorized official
Woo Lim
President
7705002439
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