Individual
VENKATA SATYA MUTYA PRAKASH RONGALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
777 HEMLOCK ST # 104, MACON, GA 31201-2102
(478) 633-7550
(478) 633-3235
Mailing address
777 HEMLOCK ST # 104, MACON, GA 31201-2102
(478) 633-7550
(478) 633-3235
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
72105
GA
Other
Enumeration date
06/06/2011
Last updated
01/19/2023
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