Individual
JYOTHIRMAI KONDAPANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2400 MOUNT ZION PKWY, KP SOUTHWOOD MEDICAL CENTER, JONESBORO, GA 30236-2500
(770) 603-3572
Mailing address
3495 PIEDMONT RD NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305-1717
(404) 364-7000
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
058052
GA
207RH0003X
Hematology & Oncology Physician
Primary
58052
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876548862A
—
GA
Enumeration date
06/18/2006
Last updated
01/13/2022
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