IndividualActive
Jithendar Kancharla
NPI 1861082471 · Adult Companion · Suwanee, GA
Provider details
- NPI number
- 1861082471
- Entity type
- Individual
- Primary specialty
- Adult CompanionNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1840 Apollo Dr
Suwanee, GA 30024-5474
Phone: (908) 731-1786
Fax: (866) 301-3071
Approximate (ZIP-level) locationGet directions
Mailing address
1840 Apollo Dr
Suwanee, GA 30024-5474
Registry dates
- Enumerated
- 2021-01-19
- Last updated
- 2021-01-19
- Certified
- 2021-01-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.