| Sushrut Llc | |
|
3778 Highway 42 Locust Grove GA 30248-3632 | |
| (678) 610-6649 | |
| Not Available |
| Full Name | Sushrut Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3778 Highway 42, Locust Grove, Georgia |
| Authorized Official Name and Position | Nimisha Trivedi (MD) |
| Authorized Official Contact | 7066230155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sushrut Llc 3778 Highway 42 Locust Grove GA 30248-3632 Ph: (678) 610-6649 | Sushrut Llc 3778 Highway 42 Locust Grove GA 30248-3632 Ph: (678) 610-6649 |
| NPI Number | 1710710116 |
|---|---|
| Provider Enumeration Date | 08/21/2024 |
| Last Update Date | 08/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710710116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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