1407943228 BRUNDA REVANNA, MD

Primary Care Clinic/Center

Active

Basic Information

Organization Name
BRUNDA REVANNA, MD
Enumeration Date
October 5, 2006
Last Update
June 24, 2008
Authorized Official
DR. BRUNDA REVANNA M.D.
PRESIDENT
Phone: (678) 432-4755

Practice Location

Address
1465 A 1ST AVE SW STE C
JACKSONVILLE, AL 36265
Phone
(678) 432-4755

Mailing Address

Address
950 EAGLES LANDING PKWY #321
STOCKBRIDGE, GA 30281
Phone
(678) 432-4755
Fax
(678) 432-4753

Specialties & Taxonomies

Specialty Code Classification License State Primary
Primary Care Clinic/Center
Primary Care
 261QP2300X Clinic/Center N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
009930945 05 AL N/A

Frequently Asked Questions

What is BRUNDA REVANNA, MD's NPI number?
BRUNDA REVANNA, MD's NPI number is 1407943228.
Which doctor has NPI number 1407943228?
The doctor with NPI number 1407943228 is BRUNDA REVANNA, MD.
What is BRUNDA REVANNA, MD's practice address?
BRUNDA REVANNA, MD's practice address is 1465 A 1ST AVE SW STE C, JACKSONVILLE, AL, 36265.
Which doctor practices at 1465 A 1ST AVE SW STE C, JACKSONVILLE, AL, 36265?
BRUNDA REVANNA, MD practices at 1465 A 1ST AVE SW STE C, JACKSONVILLE, AL, 36265.
What is BRUNDA REVANNA, MD's mailing address?
BRUNDA REVANNA, MD's mailing address is 950 EAGLES LANDING PKWY #321, STOCKBRIDGE, GA, 30281.
What is BRUNDA REVANNA, MD's phone number?
BRUNDA REVANNA, MD's phone number is (678) 432-4755.
Who is (678) 432-4755?
(678) 432-4755 is the phone number for BRUNDA REVANNA, MD.
What is BRUNDA REVANNA, MD's specialty?
BRUNDA REVANNA, MD's specialty is Primary Care Clinic/Center.
What type of doctor is BRUNDA REVANNA, MD?
BRUNDA REVANNA, MD is a Primary Care Clinic/Center.
Is BRUNDA REVANNA, MD a Primary Care?
Yes, BRUNDA REVANNA, MD is a Primary Care.
Is BRUNDA REVANNA, MD still practicing?
Yes, BRUNDA REVANNA, MD is currently practicing.
Is BRUNDA REVANNA, MD accepting new patients?
BRUNDA REVANNA, MD may be accepting new patients. Please call their office at (678) 432-4755 to inquire about availability.
Is NPI 1407943228 still active?
Yes, NPI 1407943228 is currently active.
Where does BRUNDA REVANNA, MD practice?
BRUNDA REVANNA, MD practices in JACKSONVILLE, AL.