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550 MEDICAL CTR BLVD LAWRENCEVILLE GA 300467688
RENE LATONI is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1851353098. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6608892005. The primary specialty is FAMILY PRACTICE. The organization is GWINNETT MEDICAL GROUP, INC. The address is 550 MEDICAL CTR BLVD, , LAWRENCEVILLE, GA, 300467688. The zip code is 300467688.
|Nation Provider ID||1851353098|
|PAC ID by PECOS||6608892005|
|Professional Enrollment ID||I20051014000494|
|Medical School Name||BOWMAN GRAY SCHOOL OF MEDICINE OF WAKE FOREST UNIVERSITY|
|Primary Specialty||FAMILY PRACTICE|
|All secondary specialties|
|Organization Name||GWINNETT MEDICAL GROUP, INC|
|Group Practice PAC ID||4284524166|
|Number of Group Practice members||39|
|Address||550 MEDICAL CTR BLVD, , LAWRENCEVILLE, GA, 300467688|
|Hospital affiliation LBN||GWINNETT HOSPITAL SYSTEM, INC.|