Individual
KANWAL DHANANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
845 SCENIC HWY, LAWRENCEVILLE, GA 30046-7103
(770) 277-7195
Mailing address
790 MASON GROVE PKWY, LAWRENCEVILLE, GA 30043-3359
(678) 978-4177
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6123
GA
Other
Enumeration date
07/09/2012
Last updated
03/03/2021
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