Individual
NATHANIEL JOHN SUNDHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(484) 686-1850
Mailing address
964 52ND ST, BROOKLYN, NY 11219-4002
(718) 810-3066
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PCET002530
GA
Other
Enumeration date
07/18/2017
Last updated
07/18/2017
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