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Sudha Dirisanala
Student in an Organized Health Care Education/Training Program in Gainesville, Georgia
NPI 1922703586

Sudha Dirisanala is a Student in an Organized Health Care Education/Training Program based in Gainesville, GA. Sudha Dirisanala practices in Gainesville, GA. The NPI Number for Sudha Dirisanala is 1922703586 and holds a License No. (Georgia).

The current practice location address for Sudha Dirisanala is 1439 Jesse Jewell Ste. 301, Gainesville, GA and can be reached out via phone at 770-219-0023.

Location: 1439 Jesse Jewell Ste. 301, Gainesville, GA, 30501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922703586
Provider Name
Sudha Dirisanala
Credential
Provider Entity Type
Individual
Gender
Female
Address
1439 Jesse Jewell Ste. 301, Gainesville, GA, 30501
Phone Number
770-219-0023
Fax Number
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1439 Jesse Jewell Ste. 301
City
Gainesville
State
Georgia
Zip
30501
Phone Number
770-219-0023
Fax Number
person
Provider Business Mailing Address Details
Address
1439 Jesse Jewell Ste. 301
City
Gainesville
State
Georgia
Zip
30501
Phone Number
770-219-0023
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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