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1003846635
JAY R PRAKASH
RIVERDALE, GA
NPI
1003846635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RG0100X Internal Medicine, Gastroenterology
(Licence: GA 025986)
Enumeration Date
2006-07-03
Last Update Date
2007-07-08
Business Address
Dr. JAY R PRAKASH M.D.
6555 PROFESSIONAL PL SUITE C
RIVERDALE, GA 30274-2519
Phone number: 770-996-5959
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Mailing Address
Dr. JAY R PRAKASH M.D.
6555 PROFESSIONAL PL SUITE C
RIVERDALE, GA 30274-2519
Phone number: 770-996-5959
Copy
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