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Individual

DR. SURENDER V KUMAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3327 HIGHWAY 5, DOUGLASVILLE, GA 30135-2307
(770) 577-7030
(770) 577-6844
Mailing address
3327 HIGHWAY 5, DOUGLASVILLE, GA 30135-2307
(770) 577-7030
(770) 577-6844

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
014251
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00065029A
GA
Enumeration date
11/09/2006
Last updated
07/08/2007
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