Individual
MR. DIPAKKUMAR PREMANAND AMIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
470 VALLEY ST STE 200, BALL GROUND, GA 30107-4068
(770) 737-2770
(770) 737-2406
Mailing address
470 VALLEY ST STE 200, BALL GROUND, GA 30107-4068
(770) 737-2770
(770) 737-2406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
94394
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0878804
—
OH
Enumeration date
08/18/2005
Last updated
10/16/2023
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