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Individual

ANN N DO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1518 CLIFTON RD NE, ATLANTA, GA 30322-4201
(404) 727-9705
Mailing address
1583 ANITA PL NE, ATLANTA, GA 30306-2262
(832) 217-7697

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
38732
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
38732
GA MEDICAL LICENSE
GA
Enumeration date
07/02/2019
Last updated
07/02/2019
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