Individual
SHAILENDER K. PEESAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 OLD NORCROSS RD, STE A, LAWRENCEVILLE, GA 30046-4311
(770) 963-2474
(770) 963-2476
Mailing address
601 OLD NORCROSS RD, STE A, LAWRENCEVILLE, GA 30046-4311
(770) 963-2474
(770) 963-2476
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
055540
GA
Other
Enumeration date
09/02/2006
Last updated
01/13/2022
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