# SANJEEVA RAO MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760573216
- **Authorized official:** DR. SANJEEVA H RAO MD (OWNER)
- **Authorized official phone:** (770) 775-4334

## Contact information

- **Practice address:** 232 W 2ND ST, JACKSON, GA 30233-1907
- **Practice address phone:** (770) 775-4334
- **Practice address fax:** (770) 775-7573
- **Mailing address:** 232 W 2ND ST, JACKSON, GA 30233-1907
- **Mailing address phone:** (770) 775-4334
- **Mailing address fax:** (770) 775-7573

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 018723GA | GA | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 07/11/2008