Individual
ANKUR RAVIKANTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
915 GORDON AVE, THOMASVILLE, GA 31792-6614
(229) 551-2576
Mailing address
4219 BLUEHOUSE LN, ALPHARETTA, GA 30022-1459
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2026
Last updated
03/24/2026
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