Organization
INTERNAL MEDICINE ASSOCIATES OF STATESBORO II, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAJU C DALSANIA MD (OWNER)
(912) 681-8488
Entity
Organization
Contact information
Practice address
1601 FAIR RD, SUITE 700, STATESBORO, GA 30458-1698
(912) 681-8488
(912) 681-4337
Mailing address
1601 FAIR ROAD, SUITE 700, STATESBORO, GA 30458-0800
(912) 681-8488
(912) 681-4337
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
045196
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
602993737A
—
GA
Enumeration date
01/08/2007
Last updated
07/27/2010
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