Mannepalli, Supriya

Mannepalli, Supriya is an individual health care provider with primary practice located at 743 Spring St Ne , Gainesville GA 30501-3715. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Mannepalli, Supriya can be contacted via phone (770) 219-4840.

Contact Information

Primary practice address
743 Spring St Ne Gainesville GA 30501-3715
Fax: (770) 219-4841
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 061798 Georgia

Profile Details

NPI number 1609996529
LBN Legal business name Mannepalli, Supriya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2007
Last updated Oct 7th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609996529 NPPES
Georgia Other 58-2379261 TAX ID#

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