Provider Demographics
NPI:1912107392
Name:SOOD, LOVELINA M (MD)
Entity Type:Individual
Prefix:DR
First Name:LOVELINA
Middle Name:M
Last Name:SOOD
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1287 HIGHWAY 138 SPUR
Mailing Address - Street 2:SUITE 8
Mailing Address - City:JONESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30236
Mailing Address - Country:US
Mailing Address - Phone:770-471-9990
Mailing Address - Fax:770-471-4290
Practice Address - Street 1:1287 HIGHWAY 138 SPUR
Practice Address - Street 2:SUITE 8
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236
Practice Address - Country:US
Practice Address - Phone:770-471-9990
Practice Address - Fax:770-471-4290
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-23
Last Update Date:2007-07-23
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Provider Licenses
StateLicense IDTaxonomies
GA021592208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA08BDHKJMedicare PIN