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Contact Information

GEORGETTE ANTHONY
5116 VERBENA DR NW
ACWORTH, GA30102-6923
 Phone: 770-630-8997
 Fax: 770-926-6510
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic and Reconstructive Surgery

2086S0122X 02 Physician/General Surgery
 

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for GEORGETTE ANTHONY · (Female)

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
  • GA License # 581945565
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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