Individual
MRS. HARITHA ARIKATLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1515 RIVER PL, SUIT 200, BRASELTON, GA 30517-5602
(770) 848-6140
Mailing address
3580 GLENAIREVIEW CT, DACULA, GA 30019-5405
(678) 591-6643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
055723
GA
207R00000X
Internal Medicine Physician
Primary
55723
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
055723
LICENSE
GA
Enumeration date
09/16/2006
Last updated
02/02/2021
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