Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colon and Rectal Clinic, LLC

Organization Colon & Rectal Surgery Physician · NPI 1003243072

Colon and Rectal Clinic, LLC is a Colon & Rectal Surgery Physician in Suwanee, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2013
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3905 Johns Creek CT 200
Suwanee, GA 30024-1224
Phone: (770) 495-0799
Fax: (770) 495-0783
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 761 Walther Road Suite 300, Lawrenceville, GA 30046-1224 — (770) 495-0799

Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 062621 (GA)

Record details

NPI number1003243072
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kota Venkatesh — Owner · (678) 296-5495
NPI enumeratedOctober 4, 2013
Last updated in NPPESJune 26, 2023
Certification dateJune 26, 2023
Mailing address3905 Johns Creek Court Suite 200, Suwanee, GA 30024

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