Individual
DR. SAMRAJYA L.K. GOGINENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1390 US HIGHWAY 19 S, LEESBURG, GA 31763-4831
(229) 312-7490
(229) 312-7495
Mailing address
PO BOX 84009, COLUMBUS, GA 31908-4009
(229) 312-5800
(229) 312-5853
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
025160
GA
Other
Enumeration date
10/04/2006
Last updated
11/18/2011
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