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1700016763
SRIDEVI ALLA
KOSCIUSKO, MS
NPI
1700016763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MS 22172)
Enumeration Date
2009-07-23
Last Update Date
2013-04-03
Business Address
Dr. SRIDEVI ALLA M.D.
332 HIGHWAY 12 W
KOSCIUSKO, MS 39090-3209
Phone number: 662-289-1800
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Mailing Address
Dr. SRIDEVI ALLA M.D.
864 WILSON DR SUITE C
RIDGELAND, MS 39157-4512
Phone number: 601-206-6100
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