| NPI | 1316007701 |
|---|---|
| Other Name | INDIVIDUAL ANITHA KANNAN OD |
| Entity Type | Organization |
| Authorized Contact | ANITHA KANNAN Optometrist Owner 478-953-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA GA 1927) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-08-22 |