Individual
MS. AILEEN M ANOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 CRESCENT CENTER PARKWAY, KAISER PERMANENTE CRESCENT MEDICAL CENTER, TUCKER, GA 30084
(770) 496-3414
Mailing address
3495 PIEDMONT ROAD, NE, NINE PIEDMONT CENTER, ATLANTA, GA 30305
(404) 504-5678
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN113842
GA
Other
Enumeration date
10/10/2005
Last updated
02/09/2022
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