Individual
VIJAYASUDHA GUNNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11912 JONES BRIDGE RD, SUITE 201, JOHNS CREEK, GA 30005-4613
(770) 754-1600
(770) 754-1605
Mailing address
11912 JONES BRIDGE RD, SUITE 201, JOHNS CREEK, GA 30005-4613
(770) 754-1600
(770) 754-1605
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
55232
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003112003A
—
GA
05
—
003112003B
—
GA
Enumeration date
07/17/2006
Last updated
05/14/2012
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