Individual
ANJALI OM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 WOODRUFF CIR NE, ATLANTA, GA 30322-1061
(843) 404-6100
Mailing address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1061
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
11/11/2022
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