Individual
DR. PRANAM KOKILAKUMAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3515 RICHLAND AVE, AIKEN, SC 29801
(803) 642-2626
(803) 642-2960
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(700) 677-4723
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
078841
GA
Other
Enumeration date
04/02/2015
Last updated
06/17/2020
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