License holder summary

PONNALA, SUMANT, DO is a Medical - Physician licensed to practice in Georgia. The address on file for PONNALA, SUMANT, DO is 1120 15TH STREET HB 3020, Augusta 30912. This doctor license is current. The license was granted 03/03/2016 and expired on 12/31/2017.

Georgia

Composite Medical Board

PONNALA, SUMANT, DO
Medical - Physician
License number
075498
Date granted
03/03/2016
Date expires
12/31/2017
Class
Medical - Physician
Status
Active
Address
1120 15TH STREET HB 3020
georgiadoctors.net
ID 38073439
LAST UPDATED 2021-05-19 21:51:52 UTC

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