Individual
RAM G PENMETSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S ENOTA DR NE STE 100, GAINESVILLE, GA 30501-3466
(770) 534-2020
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
23142
SC
207RC0000X
Cardiovascular Disease Physician
Primary
76134
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231421
—
SC
Enumeration date
06/24/2006
Last updated
02/14/2024
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