| NPI | 1043608474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANI S REDDY M.D. 912-682-1097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2019-01-22 |