Organization
SMYRNA MEDICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RADHIKA MUDIYALA M.D. (INTERNAL MEDICINE & GERIATRICS)
(678) 303-5082
Entity
Organization
Contact information
Practice address
3606 HIGHLANDS PKWY SE, SMYRNA, GA 30082-5184
(678) 303-5082
Mailing address
3606 HIGHLANDS PKWY SE BLDG 1, SMYRNA, GA 30082-5184
(678) 303-5082
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
051069
GA
Other
Enumeration date
01/24/2007
Last updated
04/11/2016
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