Individual
GEETHA SHIVA RAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214-4526
(770) 719-5850
(770) 719-5849
Mailing address
255 PROFESSIONAL CT, RIVERDALE, GA 30274-2531
(770) 907-0554
(770) 907-9048
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
54115
GA
Other
Enumeration date
06/05/2006
Last updated
05/22/2019
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