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1023790292
AMITA REDDY
DECATUR, GA
NPI
1023790292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: GA DN123162)
Enumeration Date
2023-08-07
Last Update Date
2023-08-07
Business Address
AMITA REDDY
755 COMMERCE DR STE 600
DECATUR, GA 30030-2619
Phone number: 404-373-7818
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Mailing Address
AMITA REDDY
16 PALMER DR NW
ROME, GA 30165-9515
Phone number: 706-266-7175
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