Organization
SOUTHERN GASTROENTEROLOGY ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK B. KUKLER M.D. (OWNER)
(678) 985-2000
Entity
Organization
Contact information
Practice address
763 OLD NORCROSS RD, LAWRENCEVILLE, GA 30045-4317
(678) 985-2000
(678) 985-1999
Mailing address
763 OLD NORCROSS RD, LAWRENCEVILLE, GA 30045-4317
(678) 985-2000
(678) 985-1999
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
05/10/2006
Last updated
05/30/2012
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