Individual
ANJU ANNA OOMMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
720 WESTVIEW DRIVE SW, ATLANTA, GA 30310-1495
(404) 752-1857
(404) 752-1088
Mailing address
7107 RENAISSANCE WAY NE, ATLANTA, GA 30308-2474
(404) 704-5488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
003446
GA
207RN0300X
Nephrology Physician
Primary
066386
GA
Other
Enumeration date
07/18/2008
Last updated
09/25/2015
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