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1003243072
COLON AND RECTAL CLINIC, LLC
SUWANEE, GA
NPI
1003243072
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Entity Type
Organization
Authorized Contact
KOTA R VENKATESH
Owner
678-296-5495
Organization Subpart ?
No
Primary Taxonomy
208C00000X Colon & Rectal Surgery
(Licence: GA 062621)
Enumeration Date
2013-10-04
Last Update Date
2023-06-26
Business Address
COLON AND RECTAL CLINIC, LLC
3905 JOHNS CREEK CT 200
SUWANEE, GA 30024-1224
Phone number: 770-495-0799
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Mailing Address
COLON AND RECTAL CLINIC, LLC
3905 JOHNS CREEK COURT SUITE 200
SUWANEE, GA 30024
Phone number: 770-495-0799
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