Individual
RIANNA SONNY KONDAVEETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O
Contact information
Practice address
702 S ALABAMA AVE, CHESNEE, SC 29323-1706
(864) 560-9100
(864) 461-4956
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36081
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
360816
—
SC
Enumeration date
04/22/2013
Last updated
01/29/2021
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