Individual
SABITHA SUNDARMOORTHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-0000
(678) 514-1991
(678) 514-1992
Mailing address
PO BOX 551420, FORT LAUDERDALE, FL 33355-1420
(800) 243-3839
(954) 839-2569
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN155918
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300609972A
—
GA
Enumeration date
02/22/2007
Last updated
05/16/2013
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