Individual
BINDUMOLE A SUKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1700 MEDICAL WAY, SNELLVILLE, GA 30078-2195
(770) 979-0200
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN202370
GA
363LF0000X
Family Nurse Practitioner
RN202370
GA
Other
Enumeration date
09/07/2020
Last updated
05/14/2025
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