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Individual

POONAMINDER KAUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
363 N BELAIR RD, EVANS, GA 30809-3096
(066) 507-5637
(706) 650-0512
Mailing address
PO BOX 2510, EVANS, GA 30809-2510
(706) 922-8251
(706) 922-6695

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
LL28052
SC
207Q00000X
Family Medicine Physician
28052
SC
207Q00000X
Family Medicine Physician
Primary
72632
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
280528
SC
01
72632
LICENSE
GA
01
P00708646
RR MEDICARE
SC
Enumeration date
09/11/2006
Last updated
04/17/2026
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