Individual
GAURAV DUTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1551 DOCTORS DR, LAGRANGE, GA 30240-4139
(706) 880-7222
(706) 880-7223
Mailing address
1551 DOCTORS DR, LAGRANGE, GA 30240-4139
(706) 880-7222
(706) 880-7223
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
24420
MS
207RP1001X
Pulmonary Disease Physician
Primary
92087
GA
Other
Enumeration date
01/27/2010
Last updated
09/06/2023
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