Individual
PROF. MUKTI BHATIA KANJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
101 YORKTOWN DR, SUITE 100, FAYETTEVILLE, GA 30214-1568
(770) 460-4285
(770) 460-4319
Mailing address
101 YORKTOWN DR, SUITE 100, FAYETTEVILLE, GA 30214-1568
(770) 460-4285
(770) 460-4319
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
055836
GA
Other
Enumeration date
03/15/2010
Last updated
02/18/2011
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