Individual
SUMAN ANNAMBHOTLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 JESSE JEWELL PKWY SE, GAINESVILLE, GA 30501-3834
(678) 207-4000
(770) 531-2435
Mailing address
PO BOX 658, GAINESVILLE, GA 30503-0658
(770) 718-1122
(770) 533-4786
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
M8500
TX
2086S0129X
Vascular Surgery Physician
Primary
070035
GA
Other
Enumeration date
01/12/2010
Last updated
05/13/2021
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