Individual
DR. SURAJ JOSE MENACHERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
631 PROFESSIONAL DR STE 300, LAWRENCEVILLE, GA 30046-3371
(770) 962-9977
Mailing address
631 PROFESSIONAL DR STE 300, LAWRENCEVILLE, GA 30046-3371
(770) 962-9977
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
057892
GA
Other
Enumeration date
03/23/2006
Last updated
07/21/2022
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