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Individual

DR. VENKATAIAH GUTTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
140 4TH AVE, GAFFNEY, SC 29340-4726
(864) 487-5124
(864) 487-5125
Mailing address
PO BOX 4, GAFFNEY, SC 29342-0004
(864) 487-5124
(864) 487-5125

Taxonomy

Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
9480
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
094800
SC
Enumeration date
06/14/2005
Last updated
10/11/2007
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