Individual
SUDHISHA KUMARI JALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
980 JOHNSON FERRY RD STE 820, ATLANTA, GA 30342-1608
(404) 252-9307
(404) 252-5839
Mailing address
1355 PEACHTREE ST NE, STE 1600, ATLANTA, GA 30309-3276
(770) 989-1623
(678) 388-1759
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
008523
GA
Other
Enumeration date
08/03/2017
Last updated
10/02/2018
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