Individual
SWAROOP M REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5 W ALTMAN ST, STATESBORO, GA 30458-5212
(912) 764-6906
(912) 764-3252
Mailing address
PO BOX 745, STATESBORO, GA 30459-0745
(912) 764-6906
(912) 764-3252
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
029292
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000373997A
—
GA
01
—
1808541
CIGNA
—
01
—
479327
BCBS
GA
Enumeration date
05/14/2009
Last updated
09/06/2016
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