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Organization

KRISHNA KUMAR PUDI MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LOU JESSUP (INSURANCE PROCESSOR)
(864) 963-9090
Entity
Organization

Contact information

Practice address
110A HOSPITAL DR, SIMPSONVILLE, SC 29681-3226
(864) 963-9090
(864) 962-0610
Mailing address
110A HOSPITAL DR, SIMPSONVILLE, SC 29681-3226
(864) 963-9090
(864) 962-0610

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19077
SC

Other

Enumeration date
04/19/2007
Last updated
08/22/2020
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