Individual
KOVITA SANJAY BHASIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, APC, NCC
Contact information
Practice address
1355 TERRELL MILL RD SE, MARIETTA, GA 30067-5496
(470) 893-1052
Mailing address
1677 MARAKANDA TRL, SUGAR HILL, GA 30518-2956
(612) 666-5453
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC008567
GA
Other
Enumeration date
07/12/2022
Last updated
07/12/2022
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