Individual
VINISHA KALRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 GRANDMAS LN, FAYETTEVILLE, GA 30215-5913
(762) 822-7861
Mailing address
300 GRANDMAS LN, FAYETTEVILLE, GA 30215-5913
(762) 822-7861
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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