Organization
ALPHA OBGYN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SOWMYA REDDY (PHYSICIAN)
(678) 335-9223
Entity
Organization
Contact information
Practice address
2905 JORDAN CT, SUITE G, ALPHARETTA, GA 30004
(678) 335-9223
(678) 335-9236
Mailing address
2905 JORDAN CT STE G, ALPHARETTA, GA 30004-8966
(678) 335-9223
(678) 335-9236
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
060596
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I164160
WELLCARE PTAN
—
05
—
450094819E
—
GA
01
—
569399
WELLCARE
GA
Enumeration date
10/22/2014
Last updated
04/25/2022
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