Individual
AVANTHI DOPPALAPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
320 HOSPITAL RD, CANTON, GA 30114-2432
(770) 479-5535
(770) 720-3294
Mailing address
320 HOSPITAL RD, CANTON, GA 30114-2432
(770) 479-5535
(770) 720-3294
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD153605
OR
207RI0200X
Infectious Disease Physician
Primary
076514
GA
207RI0200X
Infectious Disease Physician
MD153605
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500633192
—
OR
Enumeration date
01/30/2008
Last updated
03/05/2021
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