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Individual

DR. AMISH KUMAR DUDEJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
4385 JOHNS CREEK PKWY STE 200, SUWANEE, GA 30024-6094
(770) 418-0456
(770) 418-1603
Mailing address
1975 HIGHWAY 54 W STE 205, PEACHTREE CITY, GA 30269-4794
(770) 418-0456
(770) 418-1603

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
POD001452
GA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD00001452
GA

Other

Enumeration date
07/11/2017
Last updated
04/02/2024
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