Organization
CANDLER INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANI S REDDY M.D. (M.D.)
(912) 682-1097
Entity
Organization
Contact information
Practice address
380 SCONYERS ST, METTER, GA 30439-3261
(912) 685-3992
(912) 681-1444
Mailing address
PO BOX 2029, STATESBORO, GA 30459-2029
(912) 685-3992
(912) 681-1444
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
GA
363L00000X
Nurse Practitioner
—
GA
363LF0000X
Family Nurse Practitioner
—
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000468201G
—
GA
Enumeration date
01/08/2015
Last updated
01/22/2019
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