Supriya Immaneni, MD

NPI #1497129399 in Macon, Georgia

Provider Information

NPI Number
1497129399
Entity Type
Individual
Name
Supriya Immaneni, MD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dermatology - MOHS-Micrographic Surgery
Credential
MD
Enumeration Date
Nov 17, 2015
Last Updated
Jan 13, 2026

Practice Location

Address
308 COLISEUM DR
Address 2
ST 200
City
Macon
State
Georgia
ZIP Code
31217-3865
Phone
(478) 742-2180

Specialties & Taxonomy Codes

Specialty
Dermatology
Dermatology - MOHS-Micrographic SurgeryMOHS-Micrographic Surgery

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