Organization
SANJEEV S TENDOLKAR MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJEEV TENDOLKAR (PRESIDENT)
(770) 598-3397
Entity
Organization
Contact information
Practice address
4589 LAWRENCEVILLE RD, LOGANVILLE, GA 30052-7320
(770) 466-8672
Mailing address
4589 LAWRENCEVILLE RD, LOGANVILLE, GA 30052-7320
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
63066
GA
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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