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Livingstone Ajit Rasalam, MD
Specialist in Valdosta, Georgia
NPI 1841231347

Livingstone Ajit Rasalam is a Specialist based in Valdosta, GA. Livingstone Ajit Rasalam practices in Valdosta, GA and has the professional credentials of MD. The NPI Number for Livingstone Ajit Rasalam is 1841231347 and holds a License No. 033437 (Georgia).

The current practice location address for Livingstone Ajit Rasalam is 303 Woodrow Wilson Dr, Valdosta, GA and can be reached out via phone at 229-244-5000 and via fax at 229-244-0808. You can also correspond with Livingstone Ajit Rasalam through the mailing address at 303 WOODROW WILSON DR, VALDOSTA, GA - 31602-2537 (mailing address contact number: 229-244-5000).

Location: 303 Woodrow Wilson Dr, Valdosta, GA, 31602-2537
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841231347
Provider Name
Livingstone Ajit Rasalam
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
303 Woodrow Wilson Dr, Valdosta, GA, 31602-2537
Phone Number
229-244-5000
Fax Number
229-244-0808
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00475208C 05 GA
institution
Provider Business Practice Location Address Details
Address
303 Woodrow Wilson Dr
City
Valdosta
State
Georgia
Zip
31602-2537
Phone Number
229-244-5000
Fax Number
229-244-0808
person
Provider Business Mailing Address Details
Address
303 Woodrow Wilson Dr
City
Valdosta
State
Georgia
Zip
31602-2537
Phone Number
229-244-5000
Fax Number
229-244-0808
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
033437 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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