person
Shivanthi Ponniah, FNP
Family Nurse Practitioner in Roswell, Georgia
NPI 1437124740

Shivanthi Ponniah is a Family Nurse Practitioner based in Roswell, GA and is specialized in Family. Shivanthi Ponniah practices in Roswell, GA and has the professional credentials of FNP. The NPI Number for Shivanthi Ponniah is 1437124740 and holds a License No. RN196129 (Georgia).

The current practice location address for Shivanthi Ponniah is 3889 Fort Trl Ne, Roswell, GA and can be reached out via phone at 770-552-6106 and via fax at 919-852-0698. You can also correspond with Shivanthi Ponniah through the mailing address at 3889 FORT TRL NE, ROSWELL, GA - 30075-2079 (mailing address contact number: 770-552-6106).

Location: 3889 Fort Trl Ne, Roswell, GA, 30075-2079
person
Provider Profile Details
NPI Number
1437124740
Provider Name
Shivanthi Ponniah
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
3889 Fort Trl Ne, Roswell, GA, 30075-2079
Phone Number
770-552-6106
Fax Number
919-852-0698
Provider Enumeration Date
02/21/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
3889 Fort Trl Ne
City
State
Zip
30075-2079
Phone Number
770-552-6106
Fax Number
919-852-0698
person
Provider Business Mailing Address Details
Address
3889 Fort Trl Ne
City
State
Zip
30075-2079
Phone Number
770-552-6106
Fax Number
919-852-0698
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
RN196129 (Georgia)
Definition
Definition to come...
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