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Organization
MADDINENI HOLDINGS LLC
Active
Organization
MADDINENI HOLDINGS LLC
Active
Other names
HEALTH STAR FAMILY MEDICINE
Organization subpart
No
Provider details
NPI number
Authorized official
USHA MUSUNURU M.D (OWNER)
(770) 932-7605
Entity
Organization
Contact information
Practice address
4485 TENCH RD, SUITE NO 120, SUWANEE, GA 30024-6739
(770) 932-7605
Mailing address
4485 TENCH RD, SUITE NO 120, SUWANEE, GA 30024-6739
(770) 932-7605
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
055265
GA
Other
Enumeration date
07/10/2007
Last updated
03/22/2011
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