Individual
SREEROOP SEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
77 W GIBSON ST, HARTWELL, GA 30643-1845
(706) 856-6973
(706) 856-6976
Mailing address
77 W GIBSON ST, HARTWELL, GA 30643-1845
(706) 856-6973
(706) 856-6976
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
041667
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000711818G
—
GA
Enumeration date
11/30/2005
Last updated
02/22/2010
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