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Individual

KARUNAKER REDDY SRIPATHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
209 WES PARK DRIVE, PERRY PRIMARY CARE, PERRY, GA 31069
(478) 987-2578
(478) 987-2598
Mailing address
209 WES PARK DRIVE, PERRY PRIMARY CARE, PERRY, GA 31069
(478) 987-2578
(478) 987-2598

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044110
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000771251D
GA
Enumeration date
05/08/2006
Last updated
08/18/2009
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