Organization
KUSUMA RAO MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUSUMA RAO MD (OWNER)
(770) 227-2727
Entity
Organization
Contact information
Practice address
703 S 9TH ST, GRIFFIN, GA 30224-4820
(770) 227-2727
(770) 227-1276
Mailing address
703 S 9TH ST, GRIFFIN, GA 30224-4820
(770) 227-2727
(770) 227-1276
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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