| Endocrinology And Diabetes Of Georgia, P.c | |
|
11912 Jones Bridge Rd Ste 201 Johns Creek GA 30005-4613 | |
| (678) 358-5360 | |
| Not Available |
| Full Name | Endocrinology And Diabetes Of Georgia, P.c |
|---|---|
| Speciality | Internal Medicine |
| Location | 11912 Jones Bridge Rd Ste 201, Johns Creek, Georgia |
| Authorized Official Name and Position | Vijayasudha Gunna (OWNER) |
| Authorized Official Contact | 7703350413 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Endocrinology And Diabetes Of Georgia, P.c 715 Barnesley Ln Alpharetta GA 30022-3773 Ph: (770) 335-0413 | Endocrinology And Diabetes Of Georgia, P.c 11912 Jones Bridge Rd Ste 201 Johns Creek GA 30005-4613 Ph: (678) 358-5360 |
| NPI Number | 1932468287 |
|---|---|
| Provider Enumeration Date | 05/07/2012 |
| Last Update Date | 05/07/2012 |
| Medicare PECOS PAC ID | 7517122328 |
|---|---|
| Medicare Enrollment ID | O20120629000030 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932468287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
| Provider Name | Vijayasudha Gunna |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1285652784 PECOS PAC ID: 3779588033 Enrollment ID: I20060921000020 |
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