Individual
DR. VIRIN RAJIV NEIL RAMOUTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-2437
(706) 721-8623
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
TRN17468
FL
207RN0300X
Nephrology Physician
60017
TN
207RN0300X
Nephrology Physician
Primary
97810
GA
Other
Enumeration date
06/28/2012
Last updated
07/30/2024
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