Individual
DR. JODI E GANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3379 PEACHTREE RD NE, STE 500, ATLANTA, GA 30326-1031
(404) 355-5484
Mailing address
3379 PEACHTREE RD NE, STE 500, ATLANTA, GA 30326-1031
(404) 355-5484
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101237581
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
177108
ANTHEM
VA
01
—
4087270
CIGNA
VA
Enumeration date
06/01/2005
Last updated
12/27/2010
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