Individual provider · Type 1 NPI
Sumy Thakolkaran
Adult Health Nurse Practitioner · Johns Creek, GA
NPI number
1356002604
Active
Practice location
6335 Hospital Pkwy Ste 208
Johns Creek, GA 30097-1551
Mailing address
595 Hurricane Shoals Rd NW, Ste 100
Lawrenceville, GA 30046-8762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | RN199752 (GA) |
Adult Health Nurse Practitioner: Definition to come...
Other adult health nurse practitioner providers in Johns Creek
About NPI 1356002604
Sumy Thakolkaran's National Provider Identifier is 1356002604, issued on Jan 7, 2022. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Johns Creek, GA. The record was last updated on Jun 21, 2022.