Individual
DEEPTI C CHALLAGOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 WISTERIA DR, GAINESVILLE, GA 30501-3827
(770) 219-5407
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
4301101009
MI
2084P0800X
Psychiatry Physician
Primary
90519
GA
Other
Enumeration date
07/26/2012
Last updated
01/14/2022
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