Individual
SHANKAR KANDASWAMY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
775 POPLAR RD, SUITE 130, NEWNAN, GA 30265-8300
(770) 683-6921
(770) 254-6037
Mailing address
775 POPLAR RD, SUITE 130, NEWNAN, GA 30265-8300
(770) 683-6921
(770) 254-6037
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
055530
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000973134O
—
GA
Enumeration date
11/29/2005
Last updated
03/26/2018
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