Individual
ANNALISE APT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5629 HIGHWAY 21 S, RINCON, GA 31326-9416
(912) 295-2133
Mailing address
14 W JONES ST APT B, SAVANNAH, GA 31401-4597
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
05/17/2023
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