Individual
NABA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
36 LINDEN AVE NE, ATLANTA, GA 30308
(404) 686-2391
Mailing address
36 LINDEN AVE NE, ATLANTA, GA 30308
(404) 686-2391
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
87159
GA
Other
Enumeration date
03/16/2019
Last updated
04/02/2024
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