Individual
MRS. ANNE OLESEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
5901 PEACHTREE DUNWOODY RD NE, SUITE B 420, ATLANTA, GA 30328-5382
(404) 252-9751
(678) 990-5763
Mailing address
5901 PEACHTREE DUNWOODY RD NE, SUITE B 420, ATLANTA, GA 30328-5382
(404) 252-9751
(678) 990-5763
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-003608
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001867B
—
GA
05
—
100001867E
—
GA
05
—
100001867F
—
GA
Enumeration date
07/27/2005
Last updated
04/19/2011
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