Individual
GEORGE KURUVILLA PATTAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
705 JESSE JEWELL PKWY SE, SUITE 200, GAINESVILLE, GA 30501-3867
(770) 534-9014
(770) 534-9012
Mailing address
1565 FOREST BROOK TRL, CUMMING, GA 30041-8132
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
GA
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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