MAMTA PANDYA

AUGUSTA, GA
NPI1295077899
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  GAA-NP000553)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: NC  5015313)
363LA2100X Nurse Practitioner, Acute Care
(Licence: NM  03518)
Enumeration Date2013-03-21
Last Update Date2022-10-24
Business Address
MAMTA PANDYA ACNP
1120 15TH ST
AUGUSTA, GA 30912-3013
Phone number: 706-721-8623
Mailing Address
MAMTA PANDYA ACNP
1120 15TH ST # OR6000
AUGUSTA, GA 30912-0004
Phone number: 706-721-3813