Bcgp is a Specialist in Lilburn, Georgia. Bcgp practices all healthcare services and medical treatments related to Specialist. The NPI Number for Bcgp is 1619003902. The last update date is 2020-08-22.
Bcgp's current location address is 976 Killian Hill Rd Sw, Lilburn, Georgia. You can contact this provider via phone number 7709236400. The mailing address for Bcgp is 976 Killian Hill Rd Sw, Lilburn, Georgia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Bcgp |
|---|---|
| Address | 976 Killian Hill Rd Sw, Lilburn, Georgia |
| Phone Number | 7709236400 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN |
|---|---|
| Authorized Official Name | Katsitadze George |
| Credentials | M.D. |
| Telephone Number | 7709236400 |
NPI Number Detail
| NPI Number | 1619003902 |
|---|---|
| Provider Enumeration Date | 2007-02-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 976 Killian Hill Rd Sw |
|---|---|
| City | Lilburn |
| State | Georgia (GA) |
| Post Code | 300473102 |
| Phone Number | 7709236400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 52456 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Post Comment/ Review Below
What is the Bcgp's unique identification number?
The Bcgp has been assigned the NPI (National Provider Identifier) Number 1619003902 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Bcgp?
The Bcgp is situated at 976 Killian Hill Rd Sw, in the city of Lilburn, state of GA, with the zip code 300473102.
What is Bcgp's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Bcgp is Specialist, and the taxonomy code that categorizes this field of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619003902 to Bcgp?
The Centers for Medicare & Medicaid Services originally issued the 1619003902 to Bcgp on 2007-02-23.
As of what date were the Bcgp's details last updated?
The information pertaining to the Bcgp, including its address, specialty, and other details, was most recently updated on 2020-08-22.