Doctor Name: | DR. LOVELINA M SOOD |
NPI Number: | 1912107392 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | 021592 |
Business Practice Address: | 1287 Highway 138 Spur Suite 8 Jonesboro, GA - 30236 |
Business Phone Number: | 7704719990 |
Business Fax Number: | 7704714290 |
Mailing Address: | 1287 Highway 138 Spur, Suite 8 JONESBORO |
State: | GA |
Postal Code: | 30236 |
Phone Number: | 7704719990 |
Fax Number: | 7704714290 |
NPI Enumeration Date: | 07/23/2007 |
NPI Last Update Date: | 07/23/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 021592 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |