Individual
MRS. SHRAVANTI MACHERLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(770) 297-5700
(770) 718-1877
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 533-6511
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT198535
PA
207RH0000X
Hematology (Internal Medicine) Physician
86342
GA
207RX0202X
Medical Oncology Physician
Primary
086342
GA
Other
Enumeration date
07/05/2011
Last updated
03/15/2022
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