Individual
ANA C ASIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3343 MILL GROVE TER, DACULA, GA 30019-5013
(770) 614-5376
(770) 614-5376
Mailing address
3343 MILL GROVE TER, DACULA, GA 30019-5013
(770) 614-5376
(770) 614-5376
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME72195
FL
Other
Enumeration date
03/23/2006
Last updated
07/08/2007
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