Individual
SUJATHA LINGATLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3135 MATHIS AIRPORT PKWY, STE. 200, SUWANEE, GA 30024-9134
(770) 886-7711
(770) 886-7698
Mailing address
PO BOX 769609, ROSWELL, GA 30076-8224
(678) 990-1831
(675) 990-1835
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
059741
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609816123
GEORGIA CLINIC PC GROUP NPI #
GA
05
—
348016565A
—
GA
05
—
348016565B
—
GA
05
—
348016565D
—
GA
05
—
348016565E
—
GA
Enumeration date
08/01/2006
Last updated
05/05/2016
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