Individual
DR. ASHOK KANCHARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
132 FRANKLIN SPRINGS ST, ROYSTON, GA 30662-4134
(706) 245-7371
(706) 245-9257
Mailing address
1061 DOWDY RD STE 204, ATHENS, GA 30606-5700
(067) 621-7575
(833) 305-0340
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
048250
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00910291A
—
GA
01
—
1427184654
REDDY MEDICAL GROUP, LLC
GA
Enumeration date
10/16/2006
Last updated
12/09/2024
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