Individual
SARASWATHI JAMPALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11912 JONES BRIDGE RD, JOHNS CREEK, GA 30005-4613
(678) 990-1831
(678) 990-1835
Mailing address
11511 SHADOW CREEK PKWY, PEARLAND, TX 77584-7298
(713) 442-0000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
049807
GA
207R00000X
Internal Medicine Physician
T6123
TX
208D00000X
General Practice Physician
049807
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270046459F
—
GA
05
—
270046459G
—
GA
01
—
58-1762046
GEORGIA CLINIC, PC /GROUP TAX ID
GA
Enumeration date
08/03/2005
Last updated
07/10/2023
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