Sushrut LLC
NPI #1013740414 in Locust Grove, Georgia
Provider Information
- NPI Number
- 1013740414
- Entity Type
- Organization
- Organization Name
- Sushrut LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 21, 2024
- Last Updated
- Sep 5, 2024
Practice Location
- Address
- 3778 HIGHWAY 42
- City
- Locust Grove
- State
- Georgia
- ZIP Code
- 30248-3632
- Phone
- (678) 610-6649
Authorized Official
- Name
- NIMISHA TRIVEDI
- Title
- OWNER
- Phone
- (678) 610-6649
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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