Individual
DR. NGANO TONGESAI FRANK TAKAWIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1090 RIVER LAUREL DR, SUWANEE, GA 30024
(770) 979-9996
(770) 979-1202
Mailing address
1700 MEDICAL WAY, ANESTHESIA DEPARTMENT, SNELLVILLE, GA 30078-2195
(770) 979-9996
(770) 979-1202
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
73500
GA
207R00000X
Internal Medicine Physician
MD43272
PA
208VP0014X
Interventional Pain Medicine Physician
73500
GA
Other
Enumeration date
10/30/2007
Last updated
09/06/2018
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