Organization
KANDALLU R RAMESH, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KANDALLU R RAMESH M.D. (PRESIDENT)
(912) 287-1297
Entity
Organization
Contact information
Practice address
101 DARLING AVE, WAYCROSS, GA 31501-5219
(912) 287-1297
(912) 283-6897
Mailing address
101 DARLING AVE, WAYCROSS, GA 31501-5219
(912) 287-1297
(912) 283-6897
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
34928
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00483062B
—
GA
Enumeration date
12/14/2011
Last updated
12/14/2011
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