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Organization
NORTH GEORGIA DIGESTIVE DISEASE CONSULTANTS, LLC
Active
Organization
NORTH GEORGIA DIGESTIVE DISEASE CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHUVANENDRAM INDRAKRISHNAN MD (MANAGER)
(404) 274-4180
Entity
Organization
Contact information
Practice address
475 PHILIP BLVD, 304, LAWRENCEVILLE, GA 30046-8737
(678) 377-8252
(336) 553-3994
Mailing address
2887 DARLINGTON RUN, DULUTH, GA 30097-4315
(770) 814-8414
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/14/2008
Last updated
06/21/2016
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