Individual
ANU MATHEW CHERIYAPUNAMADATHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
CHOA- HUGHES SPALDING HOSPITAL, 35JESSE HILL JR DR SE,, ATLANTA, GA 30303
(334) 544-8376
Mailing address
469 BLUE JUNIPER CIR, LOGANVILLE, GA 30052-6540
(334) 544-8376
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1-179144
AL
363LP0200X
Pediatric Nurse Practitioner
RN331298
GA
Other
Enumeration date
04/15/2022
Last updated
09/24/2024
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