Individual
SANJAY DESAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Mailing address
901 18TH ST E, TIFTON, GA 31794-3648
(229) 382-7120
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
100535
GA
Other
Enumeration date
06/03/2021
Last updated
07/01/2024
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