Individual
DR. SUPREETI K KHURANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
770 PINE ST, SIUTE 580, MACON, GA 31201-2173
(478) 746-1333
(478) 746-0022
Mailing address
PO BOX 27690, MACON, GA 31221-7690
(478) 746-1333
(478) 746-0022
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
039143
GA
207VG0400X
Gynecology Physician
Primary
039143
GA
207VX0000X
Obstetrics Physician
039143
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000720409J
—
GA
Enumeration date
07/12/2006
Last updated
03/28/2014
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