Organization
RAJ K. BANSAL, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJ K BANSAL M.D. (PRESIDENT)
(770) 739-5242
Entity
Organization
Contact information
Practice address
870 CRESTMARK DR, SUITE 201, LITHIA SPRINGS, GA 30122-2665
(770) 739-5242
Mailing address
870 CRESTMARK DR, SUITE 201, LITHIA SPRINGS, GA 30122-2665
(770) 739-5242
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
048412
GA
Other
Enumeration date
08/14/2008
Last updated
08/14/2008
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