Konala-nuthalataty, Pllc

NPI 1013115005 - Clinic/Center - 261QP2000X

NPI Details
NPI 1013115005
Enumeration Date 07/11/2007
Last Updated 06/11/2012
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name GERALDINE GERALDINE
Position OFFICE MANAGER
Phone (931) 815-1616
Fax
Practice Location
1589 SPARTA ST
SUITE 104
MC MINNVILLE TN, 37110-1390, US
Phone (931) 815-1616
Fax
Business Location
1589 SPARTA ST
SUITE 104
MC MINNVILLE TN, 37110-1390, US
Phone (931) 815-1616
Fax
Toxanomy
Taxonomy Code 261QP2000X
License State
License Number
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According to our database, Konala-nuthalataty, Pllc NPI is 1013115005, taxonomy code is 261QP2000X Konala-nuthalataty, Pllc physically located at 1589 Sparta St, Mc Minnville TN, 37110-1390. NPI Number 1033115704 has the healthcare provider type.

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1013115005 NPI number is provided on an as is basis without warranty of any kind. 1013115005 is maintained by the National Plan & Provider Enumeration System. The contents of Konala-nuthalataty, Pllc are for informational purposes only.