Search › Georgia › Pediatrics Physician
Rao Immaneni, M.D
NPI 1720196520 · on the registry since 2006 · sole proprietor
Practice
- Address
- 1230 Brampton Ave
Statesboro, GA 30458 - Phone
- (912) 489-5437
- Fax
- (912) 489-5550
- Organisation at this address
- South Georgia Pediatrics, P.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Pediatrics Physician
208000000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2009-05-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia