Colon And Rectal Clinic, Llc

LBN: Colon And Rectal Clinic, Llc
Colon And Rectal Clinic, Llc is an health care organization with primary practice located at 3905 Johns Creek Ct 200 , Suwanee GA 30024-1224. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as the primary health care specialty. Colon And Rectal Clinic, Llc can be contacted via phone (770) 495-0799, or through Venkatesh, Kota R via phone (678) 296-5495.

Contact Information

Primary practice address
3905 Johns Creek Ct 200 Suwanee GA 30024-1224
Phone: (770) 495-0799
Fax: (770) 495-0783
Website:
Map and Directions
Authorized official contact:
Name: Venkatesh, Kota R Doctor of Medicine (MD)
Phone: (678) 296-5495

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 062621 Georgia

Profile Details

NPI number 1003243072
LBN Legal business name Colon And Rectal Clinic, Llc
DBA Doing business as
Authorized official Venkatesh, Kota R Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2013
Last updated Jun 26th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003243072 NPPES
Georgia MEDICAID 226365641A

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