SUDARSHANA DATTA
Individual Provider (NPI-1)
Active
Internal Medicine, Interventional Cardiology
Provider Information
- NPI Number
1275096190- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3623 J DEWEY GRAY CIR STE 202, AUGUSTA, GA, 309096554
- Phone
- (706) 863-8155
- Fax
- (706) 863-8175
Specialties & Taxonomies
Internal Medicine, Interventional Cardiology
Primary License: GA #104930