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1033110408
SWATANTRA BABU KODALI
MORRISTOWN, TN
NPI
1033110408
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: TN MD20092)
Enumeration Date
2005-08-09
Last Update Date
2007-07-08
Business Address
Mr. SWATANTRA BABU KODALI MD
1104 W 4TH NORTH ST
MORRISTOWN, TN 37814
Phone number: 423-317-8482
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Mailing Address
Mr. SWATANTRA BABU KODALI MD
1104 W 4TH NORTH ST
MORRISTOWN, TN 37814
Phone number: 423-317-8482
Copy
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