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Organization

VISITING PHYSICIAN CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. VENKATAPPA RANGARAJ M.D. (AUTHORIZED OFFICIAL)
(513) 218-3468
Entity
Organization

Contact information

Practice address
5675 JIMMY CARTER BLVD, SUITE #K, NORCROSS, GA 30071-2965
(770) 744-7688
(770) 406-1058
Mailing address
230 WYTHEFORD CT, ALPHARETTA, GA 30004-5082
(513) 218-3468
(770) 406-1058

Taxonomy

Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
058633
GA

Other

Enumeration date
12/16/2010
Last updated
07/03/2013
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