Healthcare Provider Details

I. General information

NPI: 1760493738
Provider Name (Legal Business Name): UC DOCS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 09/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

406 CENTRAL DR
EAST DUBLIN GA
31027-7412
US

IV. Provider business mailing address

406 CENTRAL DR P.O. BOX 13098
EAST DUBLIN GA
31027-7412
US

V. Phone/Fax

Practice location:
  • Phone: 478-275-1122
  • Fax: 478-274-9829
Mailing address:
  • Phone: 478-275-1122
  • Fax: 478-274-9829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number018512
License Number StateGA

VIII. Authorized Official

Name: VASUDEV V KULKARNI
Title or Position: OWNER
Credential: MD
Phone: 478-275-1122