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1124092986
GAUTAM JAGOO
SNELLVILLE, GA
NPI
1124092986
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: GA 05601)
Enumeration Date
2006-02-16
Last Update Date
2007-07-08
Business Address
Mr. GAUTAM JAGOO MD
1700 MEDICAL WAY
SNELLVILLE, GA 30078-2195
Phone number: 770-979-0200
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Mailing Address
Mr. GAUTAM JAGOO MD
2225 SUNDOWN DR NE
ATLANTA, GA 30345-3552
Phone number: 404-805-4947
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