Individual
DR. MAMTA CHURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-6005
(706) 446-3546
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-7005
(706) 446-3546
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
008741
GA
Other
Enumeration date
07/19/2016
Last updated
07/19/2016
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