Individual
ANIT S VETTUKATTIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4450 CALIBRE XING NW STE 1110, ACWORTH, GA 30101-4104
(770) 924-9656
(770) 966-7288
Mailing address
4450 CALIBRE XING NW STE 1110, ACWORTH, GA 30101-4104
(770) 924-9656
(770) 966-7288
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
36215
SC
208600000X
Surgery Physician
Primary
93796
GA
208600000X
Surgery Physician
MD13956
RI
Other
Enumeration date
02/23/2009
Last updated
11/15/2022
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