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Individual

SWETHA SURESH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
5445 MERIDIAN MARKS RD STE 380, ATLANTA, GA 30342-4755
(404) 705-3100
(404) 705-3040
Mailing address
5445 MERIDIAN MARKS RD STE 380, ATLANTA, GA 30342-4755
(404) 705-3100
(404) 705-3040

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.128007
OH
208000000X
Pediatrics Physician
Primary
080650
GA
208000000X
Pediatrics Physician
35.128007
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003206490A
GA
Enumeration date
03/19/2012
Last updated
10/15/2018
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