Individual
FNU SIDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
265 SHERATON BLVD, MACON, GA 31210-1359
(478) 746-8626
Mailing address
265 SHERATON BLVD, MACON, GA 31210-1359
(203) 709-8685
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
93837
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/28/2018
Last updated
07/02/2023
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