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1750366472
PRAKASH V DESAI
AUSTELL, GA
NPI
1750366472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics Adolescent Medicine
(Licence: GA 018482)
Enumeration Date
2005-12-15
Last Update Date
2011-09-15
Business Address
PRAKASH V DESAI M.D.
1664 MULKEY RD
AUSTELL, GA 30106-1114
Phone number: 770-941-7709
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Mailing Address
PRAKASH V DESAI M.D.
1664 MULKEY RD
AUSTELL, GA 30106-1114
Phone number: 770-941-7709
Copy
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