Individual
ANITA MANI MEDEPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MEDICAL STUDENT
Contact information
Practice address
1550 COLLEGE ST, MACON, GA 31207-1500
(478) 301-2600
Mailing address
344 CARUSO CT, ATLANTA, GA 30350-6608
(770) 331-0323
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/28/2024
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