Individual
DR. MUTHU KUTTAPPAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14779 BROWN BRIDGE RD, COVINGTON, GA 30016-4127
(770) 788-7777
(770) 788-7007
Mailing address
14779 BROWN BRIDGE RD, COVINGTON, GA 30016-4127
(770) 788-7777
(770) 788-7007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
037851
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00607967C
—
GA
01
—
037851
LICENCE
GA
Enumeration date
05/03/2006
Last updated
12/22/2009
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