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Individual

JASPAL S. GUJRAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-4078
(706) 721-1459
Mailing address
1499 WALTON WAY, STE 1400, AUGUSTA, GA 30901-2602
(706) 828-8402

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
043634
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000758293B
GA
05
G43634
SC
Enumeration date
08/30/2006
Last updated
04/01/2011
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