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Individual

DR. AKKARAJU V.S. SARMA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.,

Contact information

Practice address
1309 OCILLA RD, SUITE A, DOUGLAS, GA 31533-2209
(912) 384-2252
(912) 384-8888
Mailing address
406 W 5TH ST, OCILLA, GA 31774-1421
(229) 468-9166
(229) 468-9188

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
024487
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000257463J
GA
05
00257463A
GA
01
024487
STATE LICENSE NUMBER
GA
01
85001553G
GA BETTER HEALTH CARE
GA
Enumeration date
12/16/2005
Last updated
08/29/2016
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