Individual
APPAVUCHETTY SOUNDAPPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1115 MORNINGSIDE DR, PERRY, GA 31069-2905
(478) 988-3060
(478) 988-3098
Mailing address
1115 MORNINGSIDE DR, PERRY, GA 31069-2905
(478) 988-3060
(478) 988-3098
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
044107
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000779248E
—
GA
05
—
000779248F
—
GA
Enumeration date
05/19/2006
Last updated
02/03/2015
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