Organization
GWINNETT DIGESTIVE CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHUVANENDRAM INDRAKRISHNAN (MD)
(678) 377-8252
Entity
Organization
Contact information
Practice address
475 PHILIP BLVD, SUITE 304, LAWRENCEVILLE, GA 30045-8732
(678) 377-8252
(770) 963-0122
Mailing address
475 PHILIP BLVD, SUITE 304, LAWRENCEVILLE, GA 30045-8732
(678) 377-8252
(770) 963-0122
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
042289
GA
Other
Enumeration date
02/14/2007
Last updated
01/11/2023
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