Individual
DR. SRILAKSHMI REBALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1500 OGLETHORPE AVE, SUITE 500C, ATHENS, GA 30606-2179
(706) 546-7484
(706) 546-7488
Mailing address
PO BOX 7335, ATHENS, GA 30604-7335
(706) 546-7484
(706) 546-7488
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
051081
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261448399A
—
GA
Enumeration date
09/06/2005
Last updated
09/10/2025
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