BALA AMMISETTI

FAYETTEVILLE, NC
NPI1881835403
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084N0400X Psychiatry & Neurology, Neurology
(Licence: PA  MD442146)
Enumeration Date2009-03-11
Last Update Date2011-11-14
Business Address
-- BALA AMMISETTI MD
2300 RAMSEY ST
FAYETTEVILLE, NC 28301-3856
Phone number: 910-488-2120
Mailing Address
-- BALA AMMISETTI MD
2300 RAMSEY ST
FAYETTEVILLE, NC 28301-3856
Phone number: