# NORTH GEORGIA DIABETES AND ENDOCRINOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043414196
- **Authorized official:** DR. GEETHA REDDY SOODINI MD (PHYSICIAN)
- **Authorized official phone:** (678) 749-2131

## Contact information

- **Practice address:** 1505 NORTHSIDE BLVD, SUITE 2800, CUMMING, GA 30041
- **Practice address phone:** (678) 749-2131
- **Mailing address:** 11585 JONES BRIDGE RD, SUITE 420-127, ALPHARETTA, GA 30022-8129

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 059025 | GA | Yes |

## Other

- **Enumeration date:** 06/13/2007
- **Last updated:** 08/09/2007