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11D0263518 CLIA NUMBER - AJAY KUMAR MD LLC DBA EATONTON MEDICAL & SURGERY CENTER

Laboratory Demographics

CLIA Number: 11D0263518

Facility Name: AJAY KUMAR MD LLC DBA EATONTON MEDICAL & SURGERY CENTER

Facility Address:
132 SPARTA HIGHWAY
EATONTON, GA
ZIP 31024
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Facility Phone Number: 770 485-8495

Facility Type: Practitioner Other

Certificate Type: Waiver
NPI Number: 1073500443

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 11D0263518
LAB Type Practitioner Other
Facility Name AJAY KUMAR MD LLC DBA EATONTON MEDICAL & SURGERY CENTER
Street 132 SPARTA HIGHWAY
City EATONTON
State GA
ZIP 31024
Phone 770 485-8495
CertificateType 4
CertificateEffectiveDate 1/5/2024
CertificateExpirationDate 1/4/2026
FacilityType Waiver

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This page was last updated on: 4/23/2024