Organization
C. B. REDDY MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHELUKALA BAFU REDDY MD (DOCTOR)
(770) 228-9719
Entity
Organization
Contact information
Practice address
610 S 8TH STREET, SUITE F, GRIFFIN, GA 30224
(770) 228-9719
(770) 228-8244
Mailing address
610 S 8TH STREET, SUITE F, GRIFFIN, GA 30224
(770) 228-9719
(770) 228-8244
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
27431
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00325102A
—
GA
Enumeration date
11/10/2011
Last updated
11/10/2011
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