Individual
SUKU GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD., MPH.
Contact information
Practice address
711 CANTON RD NE, SUITE 300, MARIETTA, GA 30060
(678) 741-5000
(678) 819-4280
Mailing address
711 CANTON RD NE STE 300, MARIETTA, GA 30060-8949
(678) 741-5000
(678) 819-4280
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
054377
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804904579D
—
GA
Enumeration date
12/13/2005
Last updated
05/31/2018
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