RAO PRASAD IMMANENI

STATESBORO, GA
NPI1720196520
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208000000X Pediatrics
(Licence: GA  044756)
Enumeration Date2006-08-29
Last Update Date2009-05-11
Business Address
-- RAO PRASAD IMMANENI M.D.
1230 BRAMPTON AVE
STATESBORO, GA 30458-0849
Phone number: 912-489-5437
Mailing Address
-- RAO PRASAD IMMANENI M.D.
PO BOX 1039
STATESBORO, GA 30459-1039
Phone number: 912-489-5437
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