OrganizationGwinnett Medical Associates,Inc(<Unavail>)Family MedicineAllopathic & Osteopathic PhysiciansPractice Address715 Queen City Pkwy, Suite #106, Gainesville, GA 30501-4348(770) 531-5115PECOS EnrollmentBased on the most recent information from CMS, provider Gwinnett Medical Associates,Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1073768800Provider TypeOrganizationFull NameGwinnett Medical Associates,IncOther Name<Unavail>SubpartNoEnumeration Date11/20/2008Last Updated11/20/2008Contact InformationPractice LocationPractice Address715 Queen City Pkwy, Suite #106, Gainesville, GA 30501-4348Phone(770) 531-5115Fax(770) 531-5116Mailing LocationMailing Address715 Queen City Pkwy, Suite #106, Gainesville, GA 30501-4348Phone(770) 531-5115Fax(770) 531-5116Authorized OfficialNameGul, Rahim (M.D., D.O.)Phone(770) 531-5115Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense52073GeorgiaProvider IdentifiersIDDescriptionIssuerID189134074BDescriptionMedicaidIssuerUnlistedGeorgiaID189134074ADescriptionMedicaidIssuerUnlistedGeorgia