Individual
JYOTHIRMAYI GUNDAVARAPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
166 VANN ST NE, MARIETTA, GA 30060-7250
(770) 422-7377
Mailing address
166 VANN ST NE, MARIETTA, GA 30060-7250
(770) 422-7377
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
64945
GA
207R00000X
Internal Medicine Physician
ME84014
FL
Other
Enumeration date
03/25/2006
Last updated
04/26/2021
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