Individual
SHIVANI ANUMOLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
35 COLLIER RD NW STE 635, ATLANTA, GA 30309-1611
(404) 367-3014
Mailing address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 812-2369
(706) 845-3194
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
83431
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2016
Last updated
02/19/2020
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