BCGP
Organization Active NPI Specialist · Lilburn, GA
NPI 1619003902 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1619003902
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 052456 (GA)
- Legal business name
- BCGP
- Practice address
- 976 Killian Hill Rd SW
Building a, Suite B
Lilburn, GA 30047-3102 - Phone
- (770) 923-6400
- NPI assigned
- Feb 23, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. George Katsitadze, M.D.
- Title
- Physician
- Phone
- (770) 923-6400
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 052456 | GA | Yes |
Addresses
Primary practice location
976 Killian Hill Rd SW
Building a, Suite B
Lilburn, GA 30047-3102
Mailing address
976 Killian Hill Rd SW
Building a, Suite B
Lilburn, GA 30047-3102
Phone (770) 923-6400
Other providers in Lilburn, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.