Individual
DR. SRINIVAS BONTHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
625 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 422-2004
(770) 422-8465
Mailing address
625 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 422-2004
(770) 422-8465
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
GA77231
GA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
ME96415
FL
Other
Enumeration date
10/02/2006
Last updated
02/01/2021
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