Individual
DR. GOTAM CHAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-5795
Mailing address
408 JADE DR, MARTINEZ, GA 30907-9465
(516) 941-7451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
064346
GA
208M00000X
Hospitalist Physician
64346
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
513967754A
—
GA
Enumeration date
06/04/2008
Last updated
06/06/2024
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