Individual
KAVITA REDDY GONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.B.S.
Contact information
Practice address
4855 RIVER GREEN PKWY, DULUTH, GA 30096-8336
(770) 622-0880
(770) 622-9875
Mailing address
1838 AMERICAN WAY, LAWRENCEVILLE, GA 30043-6611
(770) 995-7622
(770) 995-7854
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
068901
GA
207Q00000X
Family Medicine Physician
L.3041R
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2009
Last updated
04/17/2013
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