SHIVANTHI PONNIAH

ROSWELL, GA
NPI1437124740
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: GA  RN196129)
Enumeration Date2006-02-21
Last Update Date2008-08-19
Business Address
SHIVANTHI PONNIAH FNP
3889 FORT TRL NE
ROSWELL, GA 30075-2079
Phone number: 770-552-6106
Mailing Address
SHIVANTHI PONNIAH FNP
3889 FORT TRL NE
ROSWELL, GA 30075-2079
Phone number: 770-552-6106
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