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Organization
RIKA MEDICAL CLINIC, LLC
Active
Organization
RIKA MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAVINDER MANCHIREDDY (CEO)
(678) 205-1959
Entity
Organization
Contact information
Practice address
6131 S NORCROSS TUCKER RD STE 700, NORCROSS, GA 30093-5535
(678) 205-1959
Mailing address
631 PLOW HEARTH WAY, AUBURN, GA 30011-2371
(678) 225-0609
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN171690
GA
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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