Individual
DR. ANTHONY M LANDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
631 PROFESSIONAL DRIVE, SUITE 450, LAWRENCEVILLE, GA 30046-7651
(770) 963-8030
(770) 339-9577
Mailing address
631 PROFESSIONAL DRIVE, SUITE 450, LAWRENCEVILLE, GA 30046-7651
(770) 963-8030
(770) 339-9577
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
021733
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00245506J
—
GA
01
—
1508926759
GROUP NPI NUMBER
GA
01
—
1821187436
PROVIDER NPI NUMBER
GA
Enumeration date
10/12/2006
Last updated
01/29/2010
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