Individual
MRS. NEELIMA PUPPALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
107 MAIN ST, PLAINS, GA 31780-5570
(229) 824-7757
Mailing address
5566 THOMASTON RD, MACON, GA 31220-8118
(478) 279-1988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
056869
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
056869
LICENSE
GA
Enumeration date
11/03/2005
Last updated
07/31/2024
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