Individual
MR. ANISH JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AA
Contact information
Practice address
5126 HOSPITAL DR NE, COVINGTON, GA 30014-2566
(770) 478-9877
Mailing address
PO BOX 1056, FAYETTEVILLE, GA 30214-6056
(770) 478-9877
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
9620
GA
367H00000X
Anesthesiologist Assistant
—
—
Other
Enumeration date
10/22/2019
Last updated
06/02/2021
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