Suddala, Satya (Sonia) R.

Suddala, Satya (Sonia) R. is an individual health care provider with primary practice located at 135 Eagles Walk Suite 200, Stockbridge GA 30281-7206. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Suddala, Satya (Sonia) R. can be contacted via phone (770) 389-8950.

Contact Information

Primary practice address
135 Eagles Walk Suite 200 Stockbridge GA 30281-7206
Phone: (770) 389-8950
Fax: (770) 389-3848
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 035148 Georgia

Profile Details

NPI number 1295726099
LBN Legal business name Suddala, Satya (Sonia) R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2005
Last updated Feb 24th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295726099 NPPES
Georgia MEDICAID 00482567I

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