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Contact Information

DRS CHANDRAKANTH & NIRMALA AMARAM
302 UVALDA ST
WAYCROSS, GA31501-4551
 Phone: 912-285-2519
 Fax: 912-284-2482
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for DRS CHANDRAKANTH NIRMALA AMARAM · (Female)

NPI # 1902928526
Status Active
Credentials
Entity Individual
Enumeration date 04/04/2007
Last updated 06/01/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 159002
  • GA Medicaid 000802315B
  • GA Medicaid 000804372A
  • GA Medicaid 000804372D
  • GA Medicaid 000804372E
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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