Individual
NEETU PANNALA-LAKSHMA REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
220 J L WHITE DR STE 150, JASPER, GA 30143-4895
(706) 299-2200
Mailing address
220 J L WHITE DR STE 150, JASPER, GA 30143-4895
(706) 299-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
079010
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0096288
—
NJ
05
—
1015276170001
—
PA
Enumeration date
06/15/2006
Last updated
07/21/2022
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