Individual
JERRY KALANGARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
250 N ARCADIA AVE, DECATUR, GA 30030-2115
(404) 321-6111
Mailing address
250 N ARCADIA AVE, DECATUR, GA 30030-2115
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
71839
GA
Other
Enumeration date
05/03/2010
Last updated
07/06/2016
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