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1386146769
SANTOSH SHANMUGA
FORT MOORE, GA
NPI
1386146769
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: VA 0101269085)
Enumeration Date
2018-03-01
Last Update Date
2024-04-22
Business Address
DR. SANTOSH SHANMUGA MD
6600 VAN AALST BLVD
FORT MOORE, GA 31905-2102
Phone number: 762-408-3566
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Mailing Address
DR. SANTOSH SHANMUGA MD
1021 W OAKLAND AVE STE 310
JOHNSON CITY, TN 37604-2192
Phone number: 423-302-6565
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