Organization
ALLERGY & ASTHMA CENTER OF MIDDLE GEORGIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAHUL KUMAR VANGALA M.D. (PHYSICIAN/PRESIDENT)
(478) 477-1777
Entity
Organization
Contact information
Practice address
3964 ELNORA DR, MACON, GA 31210-1825
(478) 477-1777
(478) 477-1779
Mailing address
3964 ELNORA DR, MACON, GA 31210-1825
(478) 477-1777
(478) 477-1779
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/02/2008
Last updated
07/02/2008
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