Individual
ANEL TANKOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-4440
Mailing address
677 CHURCH STREET ATTN: GME, MARIETTA, GA 30060
(770) 842-3536
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
99654
GA
Other
Enumeration date
03/20/2019
Last updated
07/05/2024
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