institution
Brunda Revanna, Md
Primary Care Clinic/Center in Jacksonville, Alabama
NPI 1407943228

Brunda Revanna, Md is a Primary Care Clinic/Center based in Stockbridge, AL and is specialized in Primary Care. Brunda Revanna, Md practices in Jacksonville, AL. The NPI Number for Brunda Revanna, Md is 1407943228 and holds a License No. (Alabama).

The current practice location address for Brunda Revanna, Md is 1465 A 1St Ave Sw Ste C, Jacksonville, AL and can be reached out via phone at 678-432-4755. You can also correspond with Brunda Revanna, Md through the mailing address at 950 EAGLES LANDING PKWY #321, STOCKBRIDGE, GA - 30281 (mailing address contact number: 678-432-4755).

Location: 1465 A 1St Ave Sw Ste C, Jacksonville, AL, 30281
institution
Provider Profile Details
NPI Number
1407943228
Provider Name
Brunda Revanna, Md
Credential
Provider Entity Type
Organization
Address
1465 A 1St Ave Sw Ste C, Jacksonville, AL, 30281
Phone Number
678-432-4755
Fax Number
Provider Enumeration Date
10/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
009930945 05 AL
institution
Provider Business Practice Location Address Details
Address
1465 A 1St Ave Sw Ste C
City
State
Zip
36265
Phone Number
678-432-4755
Fax Number
person
Provider Business Mailing Address Details
Address
1465 A 1St Ave Sw Ste C
City
State
Zip
36265
Phone Number
678-432-4755
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
()
Definition
Definition to come...
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