Individual
BHAVANA NAGAREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
193 N PARK TRL STE 100, STOCKBRIDGE, GA 30281-7373
(770) 389-0116
(770) 389-4058
Mailing address
193 N PARK TRL STE 100, STOCKBRIDGE, GA 30281-7373
(770) 389-0116
(770) 389-4058
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
95542
GA
Other
Enumeration date
04/24/2020
Last updated
08/08/2023
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