Individual
MR. BETTADAPURA R MANJUNATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 FREEDOM WAY, AUGUSTA, GA 30904-6258
(706) 733-0188
(706) 731-7190
Mailing address
4166 HEATHCLIFF DR, MARTINEZ, GA 30907-1625
(706) 863-3836
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
028816
GA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
028816
GA
Other
Enumeration date
07/18/2006
Last updated
09/11/2025
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