Individual
LAVANYA SUBRAMANIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
191 LAMAR HALEY PARKWAY, CANTON, GA 30114-8019
(770) 704-1600
(770) 704-1610
Mailing address
1620 HICKORY STREET, STE 406, DALTON, GA 30720
(706) 270-5002
(706) 270-5111
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036122
GA
Other
Enumeration date
12/18/2006
Last updated
04/15/2010
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