Most Relevant Information
Provider Data
| NPI Number: | 1003226069 |
| Provider Name: | GOPIKA NAIDU FNP-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | RN214578 |
Most Important Dates
| Enumeration Date: | 04/30/2014 |
| Last Updated: | 07/14/2014 |
Provider Practice Location
155 LEE BYRD ROAD
LOGANVILLE
GA
30052
Practice Location Phone/Fax
| Phone: | 7704665902 |
| Fax: |
Provider Mailing Location
155 LEE BYRD RD
BLDG 1, SUITE 130
LOGANVILLE
GA
300522310
Provider Mailing Phone/Fax
| Phone: | 7704665902 |
| Fax: |