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Organization
MIDDLE GEORGIA PRIMARY CARE
Active
Organization
MIDDLE GEORGIA PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APPAVUCHETTY SOUNDAPPAN MD (DOCTOR)
(478) 988-3060
Entity
Organization
Contact information
Practice address
1115 MORNINGSIDE DRIVE, PERRY, GA 31069
(478) 988-3060
Mailing address
2350 HOUSTON LAKE ROAD, APT 1602, KATHLEEN, GA 31047
(478) 955-3722
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
215936
GA
Other
Enumeration date
10/20/2016
Last updated
10/20/2016
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