BRUNDA REVANNA

JACKSONVILLE, AL
NPI1689646135
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: AL  00025426)
Enumeration Date2006-02-07
Last Update Date2015-06-15
Business Address
Dr. BRUNDA REVANNA m.d.
1465A 1ST AVE SW STE A
JACKSONVILLE, AL 36265
Phone number: 256-435-8383
Mailing Address
Dr. BRUNDA REVANNA m.d.
950 EAGLES LANDING PWKY #321
STOCKBRIDGE, GA 30281
Phone number: 678-432-4755
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