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1184249443
YASASVI TADAVARTHI
AUGUSTA, GA
NPI
1184249443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: GA 11955)
Enumeration Date
2020-06-12
Last Update Date
2020-06-12
Business Address
YASASVI TADAVARTHI MD
1459 LANEY WALKER BLVD AE 3042
AUGUSTA, GA 30912-0004
Phone number: 678-612-2919
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Mailing Address
YASASVI TADAVARTHI MD
265 GLADESIDE PATH
SUWANEE, GA 30024-1552
Phone number: 678-612-2919
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