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Individual

ANURADHA R THOPU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8901 STONEBRIDGE BLVD, SUITE 100, DOUGLASVILLE, GA 30134-2210
(678) 838-3000
(678) 838-3155
Mailing address
8901 STONEBRIDGE BLVD STE 100, DOUGLASVILLE, GA 30134-2210
(678) 838-3000
(678) 838-3155

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
041377
GA
207RP1001X
Pulmonary Disease Physician
Primary
41377
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000790908E
GA
Enumeration date
09/08/2005
Last updated
04/11/2023
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