Organization
CHRONIC DISEASE MANAGEMENT OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VAMSI KANAGALA MD (MEDICAL DIRECTOR)
(803) 587-5163
Entity
Organization
Contact information
Practice address
704 BREEDLOVE DR STE A, MONROE, GA 30655-2054
(888) 772-0076
(770) 751-8014
Mailing address
PO BOX 604169, CHARLOTTE, NC 28260-4169
(888) 772-0076
(803) 587-5911
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081H0002X
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081N0008X
Neuromuscular Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2081P0004X
Spinal Cord Injury Medicine Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/06/2020
Last updated
12/02/2025
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