Individual
VAMSI K KOTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2423
Mailing address
1499 WALTON WAY, SUITE 1400, AUGUSTA, GA 30901-2602
(706) 828-8402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
000467
GA
207RH0003X
Hematology & Oncology Physician
Primary
060210
GA
Other
Enumeration date
04/18/2007
Last updated
10/25/2012
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