Individual
MRS. GOTTUMUKKALA SUNEELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2996 KATE BOND RD, SUITE 203, BARTLETT, TN 38133-4030
(901) 382-2044
(901) 382-2085
Mailing address
2996 KATE BOND RD, SUITE 203, BARTLETT, TN 38133-4030
(901) 382-2044
(901) 382-2085
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD0000039069
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4152593
BLUE CROSS
TN
Enumeration date
06/15/2006
Last updated
07/24/2007
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