Individual
DR. TARUN KUMAR GHOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
535 COLISEUM DR, MACON, GA 31217-0104
(478) 803-7300
(478) 803-7532
Mailing address
657 HEMLOCK ST, 220, MACON, GA 31201-8329
(478) 741-7241
(478) 745-8932
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
048896
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00872176A
—
GA
Enumeration date
11/01/2006
Last updated
10/24/2013
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