Individual
DR. SUMIT NARAYANPRASAD FOGLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8623
(706) 721-1459
Mailing address
1120 15TH ST, OR 6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
4301085593
MI
207Q00000X
Family Medicine Physician
Primary
90357
GA
390200000X
Student in an Organized Health Care Education/Training Program
4301085593
MI
Other
Enumeration date
07/19/2007
Last updated
01/25/2023
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