Individual
KAJAL MISTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MEDICAL DOCTOR
Contact information
Practice address
1469 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
(706) 721-2423
Mailing address
810 WILLOW LK, EVANS, GA 30809-8000
(706) 394-3395
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17546
GA
Other
Enumeration date
05/03/2025
Last updated
05/03/2025
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