Search › Georgia › 2086S0129X
Suman Annambhotla, MD
NPI 1760712889 · on the registry since 2010
Practice
- Address
- 725 Jesse Jewell Pkwy Se
Gainesville, GA 30501 - Phone
- (678) 207-4000
- Fax
- (770) 531-2435
- Organisation at this address
- The Longstreet Clinic Pc
The Longstreet Clinic, Pc
The Longstreet Clinic, Pc
Northeast Georgia Community Physicians LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 151
Additional practice sites
- 631 Professional Dr Ste 240, Lawrenceville, GA
- 1270 Friendship Rd, Braselton, GA
- 500 Medical Center Blvd Ste 310, Lawrenceville, GA
Registry record
- Primary taxonomy
- 2086S0129X
2086S0129X
- Also registered as
- 208600000X
- Licence states on file
- TX, GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-05-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia