| NPI | 1699226001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APPAVUCHETTY SOUNDAPPAN Doctor 478-988-3060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 215936) |
| Enumeration Date | 2016-10-20 |
| Last Update Date | 2016-10-20 |