Individual
DR. RAMESH BABU KANNEGENTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
820 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-9246
(706) 653-2889
(706) 494-8220
Mailing address
6 YOSEMITE CT, COLUMBUS, GA 31907-1730
(706) 653-2889
(706) 494-8220
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
040434
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000876279B
—
GA
01
—
52493278
BLUE CROSS BLUE SHIELD
GA
Enumeration date
07/20/2005
Last updated
11/06/2012
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