Individual
ANJALI LATISHA TRAMBADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
20 FRANCIS WAY, SUITE 101, SHARPSBURG, GA 30277-3589
(770) 253-0611
(770) 502-0521
Mailing address
PO BOX 116116, ATLANTA, GA 30368-6116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
005835
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102098920A
—
GA
Enumeration date
06/29/2010
Last updated
02/28/2022
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