Individual
KAVITHA VEMURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6501 PEAKE RD, SUITE 700, MACON, GA 31210-8042
(478) 476-9285
(478) 474-9034
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 377-5670
(615) 377-1678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
055350
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
622559586A
—
GA
Enumeration date
12/20/2006
Last updated
02/02/2011
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