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Individual

DR. ANNAPURNA BHAT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
145 N PARK TRL, STOCKBRIDGE, GA 30281-7373
(770) 389-1701
(770) 389-9109
Mailing address
145 N PARK TRL, STOCKBRIDGE, GA 30281-7373
(770) 389-1701
(770) 389-9109

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
031138
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00471259 A
GA
01
32 06116
UNITED HEALTHCARE
GA
01
4469392
AETNA
GA
01
581954947001
CIGNA
GA
01
581985
BC/BS OF GA
GA
01
81831
CIGNA
GA
Enumeration date
10/04/2006
Last updated
09/30/2013
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