Individual
ANISA ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
61 WHITCHER ST NE STE 4100, MARIETTA, GA 30060-1181
(770) 590-4180
Mailing address
5665 NEW NORTHSIDE DR, ATLANTA, GA 30328-5831
(770) 874-6907
(770) 874-6908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007593
GA
363A00000X
Physician Assistant
—
GA
Other
Enumeration date
06/04/2015
Last updated
03/28/2023
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