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Organization
CHRONIC DISEASE MANAGEMENT OF GEORGIA, LLC
Active
Organization
CHRONIC DISEASE MANAGEMENT OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAMSI KANAGALA MD (MEDICAL DIRECTOR)
(803) 587-5163
Entity
Organization
Contact information
Practice address
704 BREEDLOVE DR STE A, MONROE, GA 30655-2054
(888) 772-0076
(770) 751-8014
Mailing address
PO BOX 604169, CHARLOTTE, NC 28260-4169
(888) 772-0076
(803) 587-5911
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
NULL
207N00000X
Dermatology Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NULL
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
NULL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207RI0200X
Infectious Disease Physician
—
NULL
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
NULL
207RN0300X
Nephrology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
NULL
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
NULL
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/06/2020
Last updated
12/02/2025
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