Most Relevant Information
Provider Data
| NPI Number: | 1003666124 |
| Provider Name: | SUGNANA MEDITHI |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/22/2024 |
| Last Updated: | 03/22/2024 |
Provider Practice Location
201 AVALON AVE
MUSCLE SHOALS
AL
356612805
Practice Location Phone/Fax
| Phone: | 2563864930 |
| Fax: |
Provider Mailing Location
201 AVALON AVE
MUSCLE SHOALS
AL
356612805
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |