Perimeter North Family Medicine

NPI #1013100130 in Suwanee, Georgia

Provider Information

NPI Number: 1013100130
Entity Type: Organization
Organization Name: Perimeter North Family Medicine
Primary Specialty: Family Medicine
Enumeration Date: Aug 22, 2007
Last Updated: Aug 22, 2007

Practice Location

Address: 4375 JOHNS CREEK PKWY
Address 2: SUITE 320
City: Suwanee
State: Georgia
ZIP Code: 30024-6085
Phone: (770) 623-1331

Authorized Official

Name: PADMASHRI KOMANDUR SRINIVASA, M.D.
Title: PROVIDER
Phone: (770) 623-1331

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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