Individual
SHREEDHAR M NAGNUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
745 POPLAR RD, NEWNAN, GA 30265-1618
(770) 400-2353
Mailing address
2265 ABBEY COVE CT, MARIETTA, GA 30062-7708
(770) 971-0701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
49192
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
49192
GA
208M00000X
Hospitalist Physician
049192
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
907454477F
—
GA
Enumeration date
07/19/2005
Last updated
10/10/2024
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