Individual
DR. AJAY MAHESHCHANDRA KOTHARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
136 S LEE ST STE A, AMERICUS, GA 31709-3698
(229) 780-0780
(229) 780-0781
Mailing address
109 MORNINGSIDE DR, AMERICUS, GA 31709-5508
(229) 942-9534
(229) 380-0267
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
26984
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000757963C
—
GA
05
—
00757963C
—
GA
Enumeration date
08/11/2006
Last updated
10/15/2024
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