Individual
MR. GAUTAM JAGOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 979-0200
Mailing address
2225 SUNDOWN DR NE, ATLANTA, GA 30345-3552
(404) 805-4947
(404) 501-5707
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
05601
GA
Other
Enumeration date
02/16/2006
Last updated
07/08/2007
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