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Individual

KAVITA PERUMAL KRISHNASAMY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1267 HIGHWAY 54 W STE 4100, FAYETTEVILLE, GA 30214-2112
(770) 506-5470
(770) 506-5471
Mailing address
1267 HIGHWAY 54 W STE 4100, FAYETTEVILLE, GA 30214-2112
(770) 506-5470
(770) 506-5471

Taxonomy

Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
83131
GA

Other

Enumeration date
04/19/2009
Last updated
08/22/2019
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