Individual
ANIKET ASHOK TATUGADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.B.B.S
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3052
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-3052
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5671
GA
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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