Individual
ARVIND GUPTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3207 COUNTRY CLUB DR, VALDOSTA, GA 31605-1029
(229) 242-8480
(229) 241-0252
Mailing address
3207 COUNTRY CLUB DR, VALDOSTA, GA 31605-1029
(229) 242-8480
(229) 241-0252
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
033344
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MEDICAL LICENSE
033344
GA
Enumeration date
08/24/2005
Last updated
10/16/2008
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