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1144680364
PREETHY KOOTHUR MATHEW
ATLANTA, GA
NPI
1144680364
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Former Name
PREETHY KOOTHUR JOHN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN161615)
Enumeration Date
2016-03-01
Last Update Date
2018-04-11
Business Address
PREETHY KOOTHUR MATHEW NP
275 COLLIER RD NW SUITE 500
ATLANTA, GA 30309-1709
Phone number: 404-605-2800
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Mailing Address
PREETHY KOOTHUR MATHEW NP
1426 THREEPINE PL SW
LILBURN, GA 30047-5681
Phone number: 404-291-7040
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