Individual
NERALAGADDE S PRASAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
503 HUNTERIAN PL, NEWNAN, GA 30265-5677
(734) 644-7377
Mailing address
503 HUNTERIAN PL, NEWNAN, GA 30265-5677
(734) 644-7377
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN014892
GA
1223G0001X
General Practice Dentistry
DS037948
PA
Other
Enumeration date
06/30/2009
Last updated
01/18/2023
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