NPI 1003243072

Colon and Rectal Clinic, LLC

Organisation Colon & Rectal Surgery Physician Suwanee, GA

Practice location

Address: 3905 Johns Creek CT 200, Suwanee, GA 30024-1224
Phone: (770) 495-0799
Fax: (770) 495-0783
Mailing address: 3905 Johns Creek Court Suite 200, Suwanee, GA 30024

Authorised official

Name: Kota R Venkatesh
Title: Owner
Phone: (678) 296-5495

Registered specialties

Colon & Rectal Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208C00000X Licence 062621 (GA)

Other Colon & Rectal Surgery providers in Georgia →

Registry record

NPI: 1003243072
Entity type: Organization
NPI issued: 4 Oct 2013
Record last updated: 26 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.