Organization
SIVARAMA K MEDURI MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SIVARAMA KRISHNA MEDURI MD (MD/OWNER)
(706) 226-1300
Entity
Organization
Contact information
Practice address
1020 CHATTANOOGA AVE STE AB, DALTON, GA 30720-8880
(706) 226-1300
Mailing address
1020 CHATTANOOGA AVE STE AB, DALTON, GA 30720-8880
(706) 226-1300
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
020055
GA
Other
Enumeration date
10/16/2007
Last updated
10/17/2007
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