Individual
DR. SUNIL V LALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4367 RIVERWOOD DR, SUITE 130, MURRELLS INLET, SC 29576-4368
(843) 652-8390
(843) 652-8391
Mailing address
PO BOX 1209, MURRELLS INLET, SC 29576-1209
(843) 652-8220
(843) 527-7080
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
17757
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3021
—
SC
Enumeration date
08/15/2005
Last updated
10/17/2014
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