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1013005149
PANKAJKUMAR NARAYANBHAI THAKKAR
AUGUSTA, GA
NPI
1013005149
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: GA 033896)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
Dr. PANKAJKUMAR NARAYANBHAI THAKKAR M.D.
1 FREEDOM WAY
AUGUSTA, GA 30904-6258
Phone number: 706-733-0188
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Mailing Address
Dr. PANKAJKUMAR NARAYANBHAI THAKKAR M.D.
4574 OXFORD DR
EVANS, GA 30809-3844
Phone number: 706-733-0188
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