Individual
KULP DHRU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
8455 RIVER WALK LNDG, SUWANEE, GA 30024-1520
(706) 469-7950
Mailing address
8455 RIVER WALK LNDG, SUWANEE, GA 30024-1520
(706) 469-7950
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/14/2025
Last updated
08/14/2025
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