Individual
KESAVAN GOPA KUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3207 COUNTRY CLUB DR, VALDOSTA, GA 31605-1029
(229) 242-8480
(229) 241-0252
Mailing address
3207 COUNTRY CLUB DR, VALDOSTA, GA 31605-1029
(229) 242-8480
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
020562
GA
Other
Enumeration date
10/06/2005
Last updated
09/18/2008
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