Individual
TANVI MAMUD DHANANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1010 CRANBROOK GLEN LN, SNELLVILLE, GA 30078-7902
(678) 770-5311
Mailing address
1010 CRANBROOK GLEN LN, SNELLVILLE, GA 30078-7902
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9983
GA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
01/27/2020
Last updated
07/12/2021
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