Organization
NORTH GEORGIA DIGESTIVE DISEASE CONSULTANTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BHUVANENDRAM INDRAKRISHNAN MD (MANAGER)
(404) 274-4180
Entity
Organization
Contact information
Practice address
475 PHILIP BLVD, 304, LAWRENCEVILLE, GA 30046-8737
(678) 377-8252
(336) 553-3994
Mailing address
2887 DARLINGTON RUN, DULUTH, GA 30097-4315
(770) 814-8414
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
10/14/2008
Last updated
06/21/2016
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