RAJ K. BANSAL, M.D., P.C.
Medical Practice at Crestmark Dr, Lithia Springs, GA

License number
Georgia 048412
Category
Medical Practice
Type
Specialist
Owner
Name: DR. RAJ K BANSAL M.D.
Title: PRESIDENT
Phone: (770) 739-5242
Address
Address
870 Crestmark Dr SUITE 201, Lithia Springs, GA 30122
National Provider ID: 1700032331
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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RAJ K. BANSAL, M.D., PC

870 Crestmark Dr SUITE 201, Lithia Springs, GA 30122

Industry:
Medical Doctor's Office
Doing business as:
Raj K Bansal, MD PC
Registration:
Jul 3, 2002
Phone:
(770) 739-5242 (Phone)
State ID:
0233700
Business type:
Domestic Professional Corporation
Medical Assistants:
K. Raj Bansal (Secretary), 1003 Carriage Ln, Smyrna, GA 30082 (Physical),Donna Davies (Office Manager),Ritu Bansal (Office Manager),...
Agent:
Ajay K. Jindia,3414 Peachtree Rd SUITE 1600, Atlanta, GA (Physical)

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