Individual
PATAMA SUWANAKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3195 OLD MURPHY RD # 399, FRANKLIN, NC 28734-7213
(828) 524-7806
Mailing address
198 GIBSON COVE ESTATES DR, FRANKLIN, NC 28734-0014
(562) 235-3881
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
A7426
NC
Other
Enumeration date
06/24/2021
Last updated
06/24/2021
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