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Organization

DRS CHANDRAKANTH & NIRMALA AMARAM

Active
Other names
Drs Amaram & Amaram
Organization subpart
No

Provider details

NPI number
Authorized official
CHANDRAKANTH AMARAM MD (MD)
(912) 285-2519
Entity
Organization

Contact information

Practice address
302 UVALDA ST, WAYCROSS, GA 31501-4551
(912) 285-2519
(912) 284-2482
Mailing address
302 UVALDA ST, WAYCROSS, GA 31501-4551
(912) 285-2519

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
159002
GA
208D00000X
General Practice Physician
159002
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000802315B
GA
05
000804372A
GA
05
000804372D
GA
05
000804372E
GA
Enumeration date
04/04/2007
Last updated
06/01/2015
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