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Individual

NITIN R DESAI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2410 DOUBLE CHURCHES RD, SUITE A, COLUMBUS, GA 31909
(706) 576-4600
Mailing address
2410 DOUBLE CHURCHES RD, SUITE A, COLUMBUS, GA 31909
(706) 576-4600

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042810
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00733994B
GA
Enumeration date
03/18/2008
Last updated
10/29/2010
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