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General NPI Number Information
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NPI Number | 1427184654
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Entity Type | Organization
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Legal Business Name | REDDY MEDICAL GROUP LLC
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Dates
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Enumeration Date | 02/23/2007
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 855 W BROAD ST STE A
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City | ATHENS
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State | GA
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Zip | 30601-2511
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Country | US
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Telephone | 706-621-7575
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Fax | 833-305-0340
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Provider Business Mailing Address
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Address Line | 1061 DOWDY RD STE 204
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City | ATHENS
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State | GA
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Zip | 30606-5700
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Country | US
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Telephone | 706-621-7575
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Fax | 833-305-0340
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | SHERRI LYNN CRAFT
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Credential |
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Telephone | 706-246-9713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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