Individual
LIVINGSTONE AJIT RASALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
303 WOODROW WILSON DR, VALDOSTA, GA 31602-2537
(229) 244-5000
(229) 244-0808
Mailing address
303 WOODROW WILSON DR, VALDOSTA, GA 31602-2537
(229) 244-5000
(229) 244-0808
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
033437
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00475208C
—
GA
Enumeration date
06/08/2006
Last updated
10/02/2013
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