Dr JAIWANT KUMAR AVULA is a male medical professional, specializing in Anesthesiology. He graduated in 1980.
SENTRY ANESTHESIA MANAGEMENT, LLC
1514 VERNON RD
LAGRANGE
GA
302404131
Tel: 7068821411
| Npi | 1346213550 |
| Pac Id | 8527255389 |
| Professional Enrollment Id | I20101207000314 |
| Last Name | AVULA |
| First Name | JAIWANT |
| Middle Name | KUMAR |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1980 |
| Primary Specialty | ANESTHESIOLOGY |
| Secondary Specialty 1 | INTERVENTIONAL PAIN MANAGEMENT |
| Secondary Specialty 2 | |
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| All Secondary Specialties | INTERVENTIONAL PAIN MANAGEMENT |
| Organization Legal Name | SENTRY ANESTHESIA MANAGEMENT, LLC |
| Group Practice Pac Id | 9436372323 |
| Number Of Group Practice Members | 65 |
| Line 1 Street Address | 1514 VERNON RD |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | LAGRANGE |
| State | GA |
| Zip Code | 302404131 |
| Phone Number | 7068821411 |
| Hospital Affiliation Ccn 1 | 110016 |
| Hospital Affiliation Lbn 1 | WEST GEORGIA MEDICAL CENTER, INC |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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