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Individual

SRI JEGAN RADHAKRISHNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-9000
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125050886
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
083660
GA

Other

Enumeration date
01/27/2009
Last updated
01/22/2021
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