Individual
SAGAR JAYANT PANSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
890 2ND ST, SUITE 201, MACON, GA 31201-6863
(478) 745-4322
(478) 750-8789
Mailing address
890 2ND ST, SUITE 201, MACON, GA 31201-6863
(478) 745-4322
(478) 750-8789
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD429573
PA
207RN0300X
Nephrology Physician
Primary
065864
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003110313A
—
GA
Enumeration date
07/26/2006
Last updated
05/12/2015
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