OrganizationActive
Bcgp
NPI 1619003902 · Specialist · Lilburn, GA
Provider details
- NPI number
- 1619003902
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Authorized official
- George Katsitadze, Physician
- License
- 052456 (GA)
Practice location
976 Killian Hill Rd Sw
Building A, Suite B
Lilburn, GA 30047-3102
Phone: (770) 923-6400
Mailing address
976 Killian Hill Rd Sw
Lilburn, GA 30047-3102
Registry dates
- Enumerated
- 2007-02-23
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.