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Individual

DR. MANGARAJU KOLLURU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1101 RIVER RD, SELMA, NC 27576-3611
(919) 965-9655
(919) 975-1029
Mailing address
1101 RIVER RD, SELMA, NC 27576-3611
(919) 965-6550
(919) 975-1029

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
26290
NC
208D00000X
General Practice Physician
Primary
26290
NC

Other

Enumeration date
08/08/2006
Last updated
09/21/2012
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