Individual
MRS. SATYA (SONIA) R. SUDDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
135 EAGLES WALK, SUITE 200, STOCKBRIDGE, GA 30281-7206
(770) 389-8950
(770) 389-3848
Mailing address
311 MONTROSE DR, MCDONOUGH, GA 30253-4257
(770) 389-8950
(770) 389-3848
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
035148
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00482567I
—
GA
Enumeration date
10/31/2005
Last updated
02/24/2012
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