Individual
GURKIRAT SINGH SIDHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
665 DULUTH HIGHWAY, SUITE 401, LAWRENCEVILLE, GA 30046-8709
(678) 312-4073
Mailing address
PO BOX 1190, LAWRENCEVILLE, GA 30046-1190
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
03/23/2023
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