NPI 1013100130

Perimeter North Family Medicine

Organisation Family Medicine Physician Suwanee, GA

Practice location

Address: 4375 Johns Creek Pkwy Suite 320, Suwanee, GA 30024-6085
Phone: (770) 623-1331
Fax: (770) 623-5674

Authorised official

Name: Padmashri Komandur Srinivasa
Title: Provider
Phone: (770) 623-1331

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 059872 (GA)

Other Family Medicine providers in Georgia →

Registry record

NPI: 1013100130
Entity type: Organization
NPI issued: 22 Aug 2007
Record last updated: 22 Aug 2007

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.