Individual
PADMINI SANGARAJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
777 HEMLOCK STREET, MSC:42, MACON, GA 31201-2102
(478) 633-7350
Mailing address
777 HEMLOCK ST # 140, MACON, GA 31201-2102
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
18038
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2025
Last updated
07/02/2025
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