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1689803785
ANITHA KODURU
EVANS, GA
NPI
1689803785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207RG0300X Internal Medicine, Geriatric Medicine
(Licence: MO 2013016211)
Enumeration Date
2009-07-09
Last Update Date
2018-07-09
Business Address
ANITHA KODURU M.D
447 N BELAIR RD STE 104
EVANS, GA 30809
Phone number: 706-854-2180
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Mailing Address
ANITHA KODURU M.D
PO BOX 1705
AUGUSTA, GA 30903-1705
Phone number: 706-774-7263
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