Individual
DR. ANITA C. TOLENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
405 ARROWHEAD BLVD, SUITE C, JONESBORO, GA 30236-1254
(770) 478-9877
Mailing address
200 MONTROSE DR, MCDONOUGH, GA 30253-4239
(770) 474-4552
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
33551
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00443165C
—
GA
Enumeration date
11/17/2005
Last updated
12/11/2007
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