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5935 Thoroughbred Way Suwanee GA 30024-1744 | |
| (847) 691-7788 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology |
| Location | 5935 Thoroughbred Way, Suwanee, Georgia |
| Authorized Official Name and Position | Kohilavani Velayudam (DIRECTOR) |
| Authorized Official Contact | 8476917788 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5935 Thoroughbred Way Suwanee GA 30024-1744 Ph: (847) 691-7788 | 5935 Thoroughbred Way Suwanee GA 30024-1744 Ph: (847) 691-7788 |
| NPI Number | 1811495989 |
|---|---|
| Provider Enumeration Date | 01/24/2018 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811495989 | NPI | - | NPPES |
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