Organization
CSRA HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPA JAGDALE MD (CMO)
(706) 399-2825
Entity
Organization
Contact information
Practice address
699 FURYS FERRY ROAD, MARTINEZ, GA 30907
(706) 399-2825
Mailing address
629 HIGH HAMPTON DR, MARTINEZ, GA 30907-9126
(706) 399-2825
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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