Individual
DR. ANISSA SHARIFI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5700 HILLANDALE DR, SUITE 150, LITHONIA, GA 30058-4103
(770) 670-6100
(678) 990-1446
Mailing address
5700 HILLANDALE DR, SUITE 150, LITHONIA, GA 30058-4103
(770) 670-6100
(678) 990-1446
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
032654
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000437214D
—
GA
Enumeration date
04/17/2006
Last updated
07/19/2010
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