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Individual

DR. SUVRAT JAGANNIVAS BHARGAVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
120 HANDLEY RD, SUITE 310, TYRONE, GA 30290-2177
(770) 486-1011
(770) 486-1067
Mailing address
120 HANDLEY RD, SUITE 310, TYRONE, GA 30290-2177
(770) 486-1011
(770) 486-1067

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
047297
GA

Other

Enumeration date
08/18/2005
Last updated
03/30/2012
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