Organization
BCGP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE KATSITADZE M.D. (PHYSICIAN)
(770) 923-6400
Entity
Organization
Contact information
Practice address
976 KILLIAN HILL RD SW, BUILDING A, SUITE B, LILBURN, GA 30047-3102
(770) 923-6400
Mailing address
976 KILLIAN HILL RD SW, BUILDING A, SUITE B, LILBURN, GA 30047-3102
(770) 923-6400
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
052456
GA
Other
Enumeration date
02/23/2007
Last updated
08/22/2020
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