Individual
SUNNY MEHTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
615 LAWRENCEVILLE SUWANEE RD, LAWRENCEVILLE, GA 30046-4325
(678) 209-2411
Mailing address
930 CLAIRIDGE LN, LAWRENCEVILLE, GA 30046-7723
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
09/28/2017
Last updated
03/17/2018
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