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Individual

DR. NARASIMHULU NEELAGARU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
170 CARDIOLOGY PL, COMMERCE, GA 30529-1083
(706) 335-2000
(706) 335-9593
Mailing address
PO BOX 359, COMMERCE, GA 30529-0007
(706) 335-2000
(706) 335-9593

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
031081
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00381587A
GA
01
0239087
BLUE CROSS BLUE SHIELD
GA
01
10041326
AMERIGROUP (MEDICAID)
GA
01
340262
WELLCARE (MEDICAID)
GA
Enumeration date
03/14/2007
Last updated
01/25/2011
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