Individual
MRS. ANITA KHIMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1046 RIDGE AVE SW, ATLANTA, GA 30315-1640
(404) 688-1350
Mailing address
77 THORNCREST COURT, TUCKER, GA 30084
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
RN191324
GA
363LF0000X
Family Nurse Practitioner
Primary
RN191324
GA
Other
Enumeration date
03/15/2017
Last updated
05/17/2017
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