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1174817316
VENKATA SATYA MUTYA PRAKASH RONGALA
MACON, GA
NPI
1174817316
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 72105)
Enumeration Date
2011-06-06
Last Update Date
2023-01-19
Business Address
VENKATA SATYA MUTYA PRAKASH RONGALA MD
777 HEMLOCK ST # 104
MACON, GA 31201-2102
Phone number: 478-633-7550
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Mailing Address
VENKATA SATYA MUTYA PRAKASH RONGALA MD
777 HEMLOCK ST # 104
MACON, GA 31201-2102
Phone number: 478-633-7550
Copy
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