Individual
ANISA T DAFTARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD NE, STE150, ATLANTA, GA 30342-1731
(404) 297-1780
(770) 234-9979
Mailing address
4380 GEORGETOWN SQ, STE 1002, ATLANTA, GA 30338-6254
(770) 220-8400
(770) 234-9979
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
3298
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003298
PHYSICIAN ASSISTANT LICENSE
GA
Enumeration date
07/24/2009
Last updated
08/28/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us