Individual
RASHMIKA REDDY NALLABOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
679 BALDWIN RD, CORNELIA, GA 30531-5768
(706) 953-3669
Mailing address
6000 AVA AVE, APT 3110, GAINESVILLE, GA 30504
(314) 341-9325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN-123867
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2023
Last updated
08/06/2025
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