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Individual

SAMYUKTHA N MURALIDHARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
970 WOODSTOCK PKWY, SUITE 100, WOODSTOCK, GA 30188-4868
(678) 388-5750
(678) 388-5785
Mailing address
970 WOODSTOCK PKWY, SUITE 100, WOODSTOCK, GA 30188-4868
(678) 388-5750
(678) 388-5785

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
074842
GA

Other

Enumeration date
07/02/2012
Last updated
12/02/2015
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