Individual
TASNEEM WALIANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
631 MIAMI CIRCLE SUITE #20, LOFT #15, ATLANTA, GA 30324
(404) 731-1744
Mailing address
1820 PEACHTREE ST NW UNIT 1608, ATLANTA, GA 30309-8403
(404) 229-7804
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5172
GA
Other
Enumeration date
08/22/2024
Last updated
08/22/2024
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