Individual
ANNA JADE HARTZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-2916
(404) 785-6400
Mailing address
1405 CLIFTON RD NE, ATLANTA, GA 30322-1060
(404) 785-6400
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
91732
GA
207LP3000X
Pediatric Anesthesiology Physician
91732
GA
Other
Enumeration date
05/12/2016
Last updated
11/04/2022
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