Individual
MS. NATASHA JIVANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11968 THORNBURY VW, ALPHARETTA, GA 30005-9016
(678) 462-9576
Mailing address
11968 THORNBURY VW, ALPHARETTA, GA 30005-9016
(678) 462-9576
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/03/2016
Last updated
06/03/2016
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