# REDDY VALADRI PRIMARY CARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Reddy Valadri Primary care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417656422
- **Authorized official:** RAVINDER VALADRI MD (DIRECTOR)
- **Authorized official phone:** (404) 200-1373

## Contact information

- **Practice address:** 6211 THOMASTON RD, MACON, GA 31220-7702
- **Practice address phone:** (404) 200-1373
- **Mailing address:** 134 ASTON HALL, MACON, GA 31210-1400
- **Mailing address phone:** (404) 200-1373

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2023
- **Last updated:** 02/28/2023