Individual
DR. SUPRIYA MANNEPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 219-4840
(770) 219-4841
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
61798
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58-2379261
TAX ID#
GA
Enumeration date
04/02/2007
Last updated
05/20/2025
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