Individual
ROSHNEY THOMAS PUTHANKALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1503 PROFESSIONAL CT, DALTON, GA 30720-2566
(706) 281-8490
(706) 529-8487
Mailing address
1503 PROFESSIONAL CT, DALTON, GA 30720-2566
(706) 281-8490
(706) 529-8487
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
35848
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
GAA-NP004346
GA
Other
Enumeration date
05/27/2024
Last updated
02/10/2026
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