| Regional Infectious Diseases And Infusion Center Inc | |
|
505 Jenkins St Lagrange GA 30240-4225 | |
| (706) 739-7789 | |
| (706) 739-7789 |
| Full Name | Regional Infectious Diseases And Infusion Center Inc |
|---|---|
| Speciality | Internal Medicine - Infectious Disease |
| Location | 505 Jenkins St, Lagrange, Georgia |
| Authorized Official Name and Position | Ravi Kamepalli (PHYSICIAN/OWNER) |
| Authorized Official Contact | 5672040745 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Infectious Diseases And Infusion Center Inc 505 Jenkins St Lagrange GA 30240-4225 Ph: (567) 204-0745 | Regional Infectious Diseases And Infusion Center Inc 505 Jenkins St Lagrange GA 30240-4225 Ph: (706) 739-7789 |
| NPI Number | 1649209214 |
|---|---|
| Provider Enumeration Date | 07/03/2006 |
| Last Update Date | 05/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649209214 | NPI | - | NPPES |
| 003232464I | Medicaid | GA | |
| G187324214 | Other | GA | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | 35066788 (Ohio) | Secondary |
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
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