Individual
DR. CHELUKALA BAPU REDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 S 8TH ST, SUITE C, GRIFFIN, GA 30224-4201
(770) 228-9719
(770) 228-8244
Mailing address
610 S 8TH ST, SUITE C, GRIFFIN, GA 30224-4201
(770) 228-9719
(770) 228-8244
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
27431
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00325102A
—
GA
Enumeration date
10/06/2006
Last updated
12/05/2013
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