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Shankar Viswanatha
NPI 1730301433 · on the registry since 2007 · sole proprietor
Practice
- Address
- 607 42nd St E
Tifton, GA 31794 - Phone
- (229) 392-3663
- Fax
- (229) 387-0568
- Organisation at this address
- Procare Therapy Services Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-07-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia