AILEEN M ANOM

TUCKER, GA
NPI1376531723
Former NameAILEEN M WIDEMAN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: GA  RN113842)
Enumeration Date2005-10-10
Last Update Date2022-02-09
Business Address
Ms. AILEEN M ANOM NP
200 CRESCENT CENTER PARKWAY KAISER PERMANENTE CRESCENT MEDICAL CENTER
TUCKER, GA 30084
Phone number: 770-496-3414
Mailing Address
Ms. AILEEN M ANOM NP
3495 PIEDMONT ROAD, NE NINE PIEDMONT CENTER
ATLANTA, GA 30305
Phone number: 404-504-5678