Individual
GEORGETTE ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5116 VERBENA DR NW, ACWORTH, GA 30102-6923
(770) 630-8997
(770) 926-6510
Mailing address
5116 VERBENA DR, ACWORTH, GA 30102
(770) 630-8997
(770) 926-6510
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
581945565
GA
363AS0400X
Surgical Physician Assistant
—
—
Other
Enumeration date
04/23/2007
Last updated
10/04/2013
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