Individual
BHARAT GUMMALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
501 REDMOND RD NW, ROME, GA 30165-1415
(706) 291-0291
Mailing address
501 REDMOND RD NW, ROME, GA 30165-1415
(706) 291-0291
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
04/10/2025
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