Individual
SPANDANA THENKABAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 CRESCENT CENTER PKWY, TUCKER, GA 30084-7047
(404) 365-0966
Mailing address
3163 RUTTER DR, ATLANTA, GA 30345-3022
(928) 380-9966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
93145
GA
Other
Enumeration date
03/19/2019
Last updated
07/09/2024
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