Individual
SUMY THAKOLKARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6335 HOSPITAL PKWY STE 208, JOHNS CREEK, GA 30097-1551
(404) 645-7150
Mailing address
595 HURRICANE SHOALS RD NW, STE 100, LAWRENCEVILLE, GA 30046-8762
(404) 645-7150
(678) 433-9152
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN199752
GA
Other
Enumeration date
01/07/2022
Last updated
06/21/2022
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