George, Suku

George, Suku is an individual health care provider with primary practice located at 711 Canton Rd Ne Suite 300, Marietta GA 30060. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. George, Suku can be contacted via phone (678) 741-5000.

Contact Information

Primary practice address
711 Canton Rd Ne Suite 300 Marietta GA 30060
Fax: (678) 819-4280
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 054377 Georgia

Profile Details

NPI number 1619952777
LBN Legal business name George, Suku
Credentials MD., MPH.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2005
Last updated May 31st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619952777 NPPES
Georgia MEDICAID 804904579D

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