Vijayamala Bondugula
Neurologist Family Doctor Neuromusculoskeletal Medicine (NMM)
743 Spring St Ne
Gainesville
, Georgia 30501-3715
Vijayamala Bondugula
Neurologist Family Doctor Neuromusculoskeletal Medicine (NMM)
743 Spring St Ne
Gainesville
, Georgia 30501-3715
(770) 219-8420
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Family Doctor
- Neurologist
Languages spoken
- English
Location
First Address
- Vijayamala Bondugula
- Po Box 742616
- Atlanta, GA
- Zip : 30374-2616
- Phone : (770) 219-8420
Second Address
- Vijayamala Bondugula
- 743 Spring St Ne
- Gainesville, GA
- Zip : 30501-3715
- Phone : (770) 219-9000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 32361 | AL |
| N | 207Q00000X | Family Doctor | MT188910 | PA |
| Y | 2084N0400X | Neurologist | 85325 | GA |
National Provider Identifier
| NPI | 1053526871 |
|---|---|
| Provider Name | Vijayamala Bondugula |
| First Address | Atlanta, GA 30374-2616 |
| Second Address | Gainesville, GA 30501-3715 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2007 |
| Last Update Date | 07/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.