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1306162037
SRINAND MANDYAM
LAWRENCEVILLE, GA
NPI
1306162037
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208VP0014X Pain Medicine, Interventional Pain Medicine
(Licence: GA 70149)
Enumeration Date
2010-04-20
Last Update Date
2018-01-03
Business Address
SRINAND MANDYAM MD
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 30046-8768
Phone number: 770-962-3642
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Mailing Address
SRINAND MANDYAM MD
455 PHILIP BLVD STE 140
LAWRENCEVILLE, GA 30046-8768
Phone number: 770-962-3642
Copy
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