Individual
ANITA VADRIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 GALLERIA PKWY SE, SUITE 100, ATLANTA, GA 30339-5918
(770) 444-0076
Mailing address
200 GALLERIA PKWY SE, SUITE 100, ATLANTA, GA 30339-5918
(770) 444-0076
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7250
GA
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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