Individual
DR. PADMANABH MARAMREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
220 UVALDA ST, WAYCROSS, GA 31501-4569
(912) 285-2053
(912) 287-1731
Mailing address
220 UVALDA ST, WAYCROSS, GA 31501-4569
(912) 285-2053
(912) 287-1731
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
20130
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1306811401
MC ARE GROUP NPI NUMBER
GA
Enumeration date
12/07/2005
Last updated
10/18/2007
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