Individual
JAHNAVI KANDEPU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1475 LANEY WALKER BLVD, AUGUSTA, GA 30912-0002
(706) 721-7005
Mailing address
370 FRONT ST UNIT 319, NORTH AUGUSTA, SC 29841-4378
(813) 940-9340
Taxonomy
Speciality
Code
Description
License number
State
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
13482
GA
Other
Enumeration date
07/14/2021
Last updated
07/14/2021
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