Individual
ANITA SINGH KHICHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
555 OLD NORCROSS RD, SUITE 210, LAWRENCEVILLE, GA 30046-8716
(678) 312-5250
(678) 442-7648
Mailing address
PO BOX 116156, ATLANTA, GA 30368-6156
(470) 325-0100
(470) 325-0193
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
40120
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000679313
—
GA
Enumeration date
01/26/2007
Last updated
07/16/2014
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