Sanjeeva Rao Md Pc | |
232 W 2nd St Jackson GA 30233-1907 | |
(770) 775-4334 | |
(770) 775-7573 |
Full Name | Sanjeeva Rao Md Pc |
---|---|
Speciality | Family Medicine |
Location | 232 W 2nd St, Jackson, Georgia |
Authorized Official Name and Position | Sanjeeva H Rao (OWNER) |
Authorized Official Contact | 7707754334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Sanjeeva Rao Md Pc 232 W 2nd St Jackson GA 30233-1907 Ph: (770) 775-4334 | Sanjeeva Rao Md Pc 232 W 2nd St Jackson GA 30233-1907 Ph: (770) 775-4334 |
NPI Number | 1760573216 |
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Provider Enumeration Date | 09/28/2006 |
Last Update Date | 07/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760573216 | NPI | - | NPPES |
00299989A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 018723GA (Georgia) | Primary |
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