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Individual

ANJALI MODI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
755 MOUNT VERNON HWY. NE, STE. 150, ATLANTA, GA 30328-4201
(404) 303-1314
(404) 303-1319
Mailing address
755 MOUNT VERNON HWY NE, STE. 150, ATLANTA, GA 30328-4201
(404) 303-1314
(404) 303-1319

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
0116017079
VA
208000000X
Pediatrics Physician
Primary
69044
GA

Other

Enumeration date
05/07/2008
Last updated
12/29/2014
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