Individual
SANDHYA TALAKOKKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-7111
Mailing address
300 SINGLETON RIDGE RD, CONWAY, SC 29526-9142
(843) 347-7111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
40737
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2014
Last updated
07/21/2022
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