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1881835403
BALA AMMISETTI
FAYETTEVILLE, NC
NPI
1881835403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: PA MD442146)
Enumeration Date
2009-03-11
Last Update Date
2011-11-14
Business Address
-- BALA AMMISETTI MD
2300 RAMSEY ST
FAYETTEVILLE, NC 28301-3856
Phone number: 910-488-2120
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Mailing Address
-- BALA AMMISETTI MD
2300 RAMSEY ST
FAYETTEVILLE, NC 28301-3856
Phone number:
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