Individual
SHOBA BATTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
589 FIRESTONE PLACE, MARTINEZ, GA 30907
(706) 860-1975
Mailing address
589 FIRESTONE PL, MARTINEZ, GA 30907-8956
(706) 860-1975
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
026220
GA
Other
Enumeration date
09/05/2006
Last updated
07/08/2007
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