Individual
THANUJA KUMARI PUCHAKAYALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
601 N ELM ST, HIGH POINT, NC 27262-4331
(336) 878-6419
(336) 878-6420
Mailing address
5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN 37027-5064
(615) 377-5670
(615) 377-1678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NC
Other
Enumeration date
11/01/2006
Last updated
11/12/2007
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