NPI Profile for GEORGETTE ANTHONY in ACWORTH, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic and Reconstructive Surgery |
2086S0122X | 02 | Physician/General Surgery | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1245458660 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/23/2007 | |
| Last updated | 10/04/2013 - About 13 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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GEORGETTE ANTHONY
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