Individual
SATYA S THIPPAREDDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
55 CARLTON ST, ATHENS, GA 30602-4586
(706) 542-8638
(706) 542-8621
Mailing address
55 CARLTON ST, ATHENS, GA 30602-1503
(706) 542-8638
(706) 542-8621
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
TEP4863
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47055301100
—
NE
Enumeration date
07/28/2006
Last updated
02/16/2024
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