Lundberg, Gina P

Lundberg, Gina P is an individual health care provider with primary practice located at 137 Johnson Ferry Rd Suite 1200, Marietta GA 30068-4945. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Lundberg, Gina P can be contacted via phone (678) 843-9601.

Contact Information

Primary practice address
137 Johnson Ferry Rd Suite 1200 Marietta GA 30068-4945
Fax: (678) 843-9650
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 032458 Georgia

Profile Details

NPI number 1902828924
LBN Legal business name Lundberg, Gina P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Mar 27th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902828924 NPPES
Georgia MEDICAID 00604172A
Georgia MEDICAID 000604172P
Georgia MEDICAID 00604172O
Georgia MEDICAID 000604172N

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