Organization
GULLA BALA KRISHNA MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GULLA BALA KRISHNA MD (OWNER/PRESIDENT)
(931) 455-6626
Entity
Organization
Contact information
Practice address
705 NW ATLANTIC ST, TULLAHOMA, TN 37388-3576
(931) 455-6626
(931) 455-6627
Mailing address
PO BOX 409907, ATLANTA, GA 30384-9907
(888) 462-1321
(615) 261-6806
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
10534
TN
Other
Enumeration date
05/04/2010
Last updated
05/04/2010
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