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Organization
ENDOCRINOLOGY AND DIABETES OF GEORGIA, P.C
Active
Organization
ENDOCRINOLOGY AND DIABETES OF GEORGIA, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VIJAYASUDHA GUNNA M.D (OWNER)
(770) 335-0413
Entity
Organization
Contact information
Practice address
11912 JONES BRIDGE RD STE 201, JOHNS CREEK, GA 30005-4613
(678) 358-5360
Mailing address
715 BARNESLEY LN, ALPHARETTA, GA 30022-3773
(770) 335-0413
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Enumeration date
05/07/2012
Last updated
05/07/2012
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