Organization
NORTHEAST GEORGIA OPHTHALMOLOGY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANDANA C. REDDY MD (OWNER/PHYSICIAN)
(770) 767-3937
Entity
Organization
Contact information
Practice address
1498 JESSE JEWELL PKWY SE STE B, GAINESVILLE, GA 30501-3874
(770) 596-8605
(713) 903-7907
Mailing address
195 14TH ST NE UNIT 805, ATLANTA, GA 30309-2673
(770) 596-8605
(713) 903-7907
Taxonomy
Speciality
Code
Description
License number
State
261QS0132X
Ophthalmologic Surgery Clinic/Center
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/24/2020
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