Individual
ANJUM ARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
997 SAINT SEBASTIAN WAY, AUGUSTA, GA 30912-2613
(706) 721-6597
(706) 721-6602
Mailing address
1499 WALTON WAY STE 1400, ATTN: D. RAIFORD, AUGUSTA, GA 30901-2603
(706) 828-8401
(706) 722-7235
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
075367
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003166444B
—
GA
Enumeration date
07/23/2012
Last updated
07/18/2017
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