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Srutte Panta
Gerontology Nurse Practitioner in Lilburn, Georgia
NPI 1033990601

Srutte Panta is a Gerontology Nurse Practitioner based in Lilburn, GA and is specialized in Gerontology. Srutte Panta practices in Lilburn, GA. The NPI Number for Srutte Panta is 1033990601 and holds a License No. RN267277 (Georgia).

The current practice location address for Srutte Panta is 3151 Royal Creek Way Sw, Lilburn, GA and can be reached out via phone at 404-345-4420.

Location: 3151 Royal Creek Way Sw, Lilburn, GA, 30047-1884
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033990601
Provider Name
Srutte Panta
Credential
Provider Entity Type
Individual
Gender
Female
Address
3151 Royal Creek Way Sw, Lilburn, GA, 30047-1884
Phone Number
404-345-4420
Fax Number
Provider Enumeration Date
10/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3151 Royal Creek Way Sw
City
Lilburn
State
Georgia
Zip
30047-1884
Phone Number
404-345-4420
Fax Number
person
Provider Business Mailing Address Details
Address
3151 Royal Creek Way Sw
City
Lilburn
State
Georgia
Zip
30047-1884
Phone Number
404-345-4420
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
RN267277 (Georgia)
Definition
Definition to come...
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