Individual
RAMYA SREE BANALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
455 PHILIP BLVD, LAWRENCEVILLE, GA 30046-8767
(404) 365-0966
Mailing address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(973) 971-5000
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
92817
GA
Other
Enumeration date
03/21/2019
Last updated
07/05/2023
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