Organization
PERIMETER NORTH FAMILY MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PADMASHRI KOMANDUR SRINIVASA M.D. (PROVIDER)
(770) 623-1331
Entity
Organization
Contact information
Practice address
4375 JOHNS CREEK PKWY, SUITE 320, SUWANEE, GA 30024-6085
(770) 623-1331
(770) 623-5674
Mailing address
4375 JOHNS CREEK PKWY, SUITE 320, SUWANEE, GA 30024-6085
(770) 623-1331
(770) 623-5674
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
059872
GA
Other
Enumeration date
08/22/2007
Last updated
08/22/2007
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