NPI Search for Physicians and Health Care Providers
DR. UMPON SANGMALEE M.D.
>> Family Medicine >> Allopathic & Osteopathic PhysiciansRegistrant 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:
Primary | Code | Category/Description | State | License Number |
---|
Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine
| GA | GA17081 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
| 00144834A | GA | 05 |
HEALTH CARE JOBS GA - Page 1