Organization
REGIONAL INFECTIOUS DISEASES AND INFUSION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHUVAN DONEEPUDI (EXECUTIVE DIRECTOR)
(248) 513-2425
Entity
Organization
Contact information
Practice address
505 JENKINS ST, LAGRANGE, GA 30240-4225
(706) 739-7789
(706) 739-7776
Mailing address
505 JENKINS ST, LAGRANGE, GA 30240-4225
(706) 739-7789
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
09/20/2023
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