Organization
CHILTON SHELBY SUGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAGHAVACHARI SUNDER KRISHNAN MD (MD)
(205) 280-7700
Entity
Organization
Contact information
Practice address
150 HEALTH CENTER DR, CLANTON, AL 35045-2368
(205) 280-7700
(205) 280-7088
Mailing address
PO BOX 1604, PELHAM, AL 35124-5604
(205) 280-7700
(205) 280-7088
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
00018919
AL
Other
Enumeration date
05/15/2007
Last updated
08/22/2020
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