Individual
GURIJALA RAMESH RAMAYYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
215 AUTUMN TRACE CT, MACON, GA 31210-8024
(478) 501-3501
Mailing address
215 AUTUMN TRACE CT, MACON, GA 31210-8024
Taxonomy
Speciality
Code
Description
License number
State
202C00000X
Independent Medical Examiner Physician
Primary
MD21729
ME
208600000X
Surgery Physician
MD21729
ME
Other
Enumeration date
09/11/2017
Last updated
09/11/2017
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