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Individual

MADHAVI MADUPURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MBBS

Contact information

Practice address
1900 TEBEAU ST, WAYCROSS, GA 31501-6357
(912) 287-4168
Mailing address
1900 TEBEAU ST, WAYCROSS, GA 31501-6357
(912) 287-4168

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15838
GA
208000000X
Pediatrics Physician
Primary
8620
NE

Other

Enumeration date
06/30/2019
Last updated
04/21/2026
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