Organization
MIDDLE GEORGIA PRIMARY CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APPAVUCHETTY SOUNDAPPAN MD (PHYSICIAN)
(478) 988-3060
Entity
Organization
Contact information
Practice address
1115 MORNINGSIDE DR, PERRY, GA 31069-2905
(478) 988-3060
(478) 988-3098
Mailing address
1115 MORNINGSIDE DR, PERRY, GA 31069-2905
(478) 988-3060
(478) 988-3098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044107
GA
Other
Enumeration date
07/13/2006
Last updated
07/16/2009
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