Blackpool LLC
NPI #1124361811 in Cumming, Georgia
Provider Information
- NPI Number
- 1124361811
- Entity Type
- Organization
- Organization Name
- Blackpool LLC
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Apr 1, 2013
- Last Updated
- Feb 14, 2023
Practice Location
Authorized Official
- Name
- DR. VENKATAPPA RANGARAJ, MD
- Title
- OWNER
- Phone
- (513) 218-3468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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