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Individual

DR. SHYLAJA PRABHAKAR

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2025 PALMYRA RD, ALBANY, GA 31701-1576
(229) 888-7332
(229) 888-2426
Mailing address
2618 RIDGEWOOD LN, ALBANY, GA 31707-3057
(229) 431-0998

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
042699
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00727779B
GA
Enumeration date
02/10/2006
Last updated
07/08/2007
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