Individual
DR. ANITA GO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1268 SOUTH HAMPTON DRIVE, ALEXANDRIA, LA 71301
(318) 449-4886
(318) 449-4877
Mailing address
PO BOX 277964, ATLANTA, GA 30384
(318) 449-7643
(318) 449-7644
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
15672R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1464236
—
LA
Enumeration date
12/09/2005
Last updated
10/02/2007
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