Individual
ANSUYA AMIN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
710 CENTER ST, COLUMBUS, GA 31901-1527
(706) 571-1064
(706) 571-1986
Mailing address
530 BOULDER WAY, ROSWELL, GA 30075-4160
(865) 985-7186
(865) 692-3390
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
051610
GA
2085R0202X
Diagnostic Radiology Physician
18764
KY
Other
Enumeration date
04/14/2006
Last updated
07/08/2007
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