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Individual

SRINIVASA REDDY REDDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
7901 FARROW RD, SOUTH CAROLINA DEPT. OF MENTAL HEALTH, COLUMBIA, SC 29203-3220
(803) 935-5746
Mailing address
7901 FARROW RD, SOUTH CAROLINA DEPT. OF MENTAL HEALTH, COLUMBIA, SC 29203-3220
(803) 935-5746

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
30403
SC

Other

Enumeration date
10/05/2006
Last updated
04/08/2008
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