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Contact Information

C. B. REDDY MD PC
610 S 8TH STREET
SUITE F
GRIFFIN, GA30224
 Phone: 770-228-9719
 Fax: 770-228-8244
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for C. B. REDDY MD PC

NPI Number 1437436094
LBN Legal business name C. B. REDDY MD PC
Authorized official CHELUKALA REDDY - (DOCTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/10/2011
Last updated 11/10/2011 - About 15 years ago
Identifiers
GA License # 27431
GA Medicaid 00325102A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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