| Perimeter North Family Medicine | |
|
4375 Johns Creek Pkwy Suite 320 Suwanee GA 30024-6085 | |
| (770) 623-1331 | |
| (770) 623-5674 |
| Full Name | Perimeter North Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 4375 Johns Creek Pkwy, Suwanee, Georgia |
| Authorized Official Name and Position | Padmashri Komandur Srinivasa (PROVIDER) |
| Authorized Official Contact | 7706231331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Perimeter North Family Medicine 4375 Johns Creek Pkwy Suite 320 Suwanee GA 30024-6085 Ph: (770) 623-1331 | Perimeter North Family Medicine 4375 Johns Creek Pkwy Suite 320 Suwanee GA 30024-6085 Ph: (770) 623-1331 |
| NPI Number | 1013100130 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 08/22/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013100130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 059872 (Georgia) | Primary |
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