Organization
PERRY PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARUNAKER R. SRIPATHI MD (OWNER)
(478) 987-2578
Entity
Organization
Contact information
Practice address
209 WES PARK DRIVE, PERRY, GA 31069-2948
(478) 987-2578
(478) 987-2598
Mailing address
209 WES PARK DRIVE, PERRY, GA 31069-2948
(478) 987-2578
(478) 987-2598
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044110
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000771251D
—
GA
Enumeration date
08/17/2006
Last updated
08/18/2009
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