Individual
RAVIPRAKASH REDDY MEREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
908 RED BUD RD NE, CALHOUN, GA 30701-1969
(706) 629-8822
(706) 629-8893
Mailing address
PO BOX 906, CALHOUN, GA 30703-0906
(706) 629-8822
(706) 629-8893
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013184
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
905675835A
—
GA
Enumeration date
10/31/2006
Last updated
08/28/2015
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