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Individual

SREEKANTH REDDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 MEADOWS PKWY STE B, VIDALIA, GA 30474-8759
(912) 454-7012
(866) 871-8565
Mailing address
PO BOX 749495, ATLANTA, GA 30374-9495
(855) 963-2100
(813) 321-1296

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
049476
GA
207RX0202X
Medical Oncology Physician
Primary
49476
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
012026407A
GA
Enumeration date
06/06/2006
Last updated
01/07/2025
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