Individual
MS. TANUSHRI MAHESH MAVINAHALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1325 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30310-1649
(404) 836-0136
(404) 850-8695
Mailing address
1325 RALPH DAVID ABERNATHY BLVD SW, ATLANTA, GA 30310-1649
(404) 836-0136
(404) 850-8695
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
98833
GA
Other
Enumeration date
06/07/2021
Last updated
05/22/2024
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