Organization
KATUREEBE MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN BANEGURA MD (OWNER)
(617) 901-6120
Entity
Organization
Contact information
Practice address
290 BLUE SPRUCE TRL, LILBURN, GA 30047-7060
(617) 901-6120
Mailing address
290 BLUE SPRUCE TRL, LILBURN, GA 30047-7060
(617) 901-6120
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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