Individual
DR. VENKATA CHITTILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 STEVENS MILL RD, GOLDSBORO, NC 27530-1056
(919) 731-3420
Mailing address
202 RYAN BLVD, GOLDSBORO, NC 27534-8603
(919) 759-0804
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
9601576
NC
Other
Enumeration date
08/09/2006
Last updated
08/14/2012
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