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Individual

DR. DHEERA ANANTHAKRISHNAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
59 EXECUTIVE PARK SOUTH, SUITE 3000, ATLANTA, GA 30329
(404) 778-6306
(404) 778-6376
Mailing address
59 EXECUTIVE PARK SOUTH, SUITE 3000, ATLANTA, GA 30329
(404) 778-6306
(404) 778-6376

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD00042731
WA
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
059591
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8374316
WA
Enumeration date
10/24/2006
Last updated
04/09/2010
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