Individual
MRS. PALAVI JAIRAM REDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 GENEVIEVE CT, PEACHTREE CITY, GA 30214
(770) 486-1818
Mailing address
100 GENEVIEVE CT, FAYETTEVILLE, GA 30214
(770) 486-1818
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
007272
GA
Other
Enumeration date
01/27/2010
Last updated
03/30/2015
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