Individual
FORSTINA ANANABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1700 HOSPITAL SOUTH DR STE 202, AUSTELL, GA 30106-8116
(770) 944-7818
Mailing address
1700 HOSPITAL SOUTH DR STE 202, AUSTELL, GA 30106-8116
(770) 944-7818
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN210012
GA
Other
Enumeration date
06/19/2015
Last updated
04/11/2024
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