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DR. UMPON SANGMALEE M.D.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1679688220

Individual Registrant:
DR. UMPON  SANGMALEE M.D.
Gender: M
Sole Proprietor

Location and contact information for practice:
826 C WEST ELM ST  ROCKMART, GA 30153-1727 US
Tel: 770-684-5348  Fax: 770-684-5349

Contact information for business:
826 W ELM ST STE C  ROCKMART, GA 30153-1727 US
Tel: 770-684-5348  Fax: 770-684-5348

Registration Information:
NPI: 1679688220
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
GAGA17081

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
00144834AGA05




HEALTH CARE JOBS GA - Page 1



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