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Individual

DR. KARTHI SUBBANNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
6300 HOSPITAL PKWY STE 300, JOHNS CREEK, GA 30097-1982
(770) 623-8965
(770) 623-4018
Mailing address
1835 SAVOY DR, SUITE 300, ATLANTA, GA 30341-1072
(770) 623-8965
(770) 623-4018

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
062169
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
738700884C
GA
05
738700884D
GA
Enumeration date
04/04/2007
Last updated
08/19/2020
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