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Individual

JAYA BINDU MERUGU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
655 MEDICAL PARK DR, AIKEN, SC 29801-6415
(803) 641-5900
Mailing address
302 UNIVERSITY PKWY, AIKEN, SC 29801-6302
(803) 641-5900

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
34349
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003141004B
GA
05
343499
SC
Enumeration date
07/11/2008
Last updated
11/16/2015
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