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1649477035
ANITA KANITHAHALLI SHETTY
MARIETTA, GA
NPI
1649477035
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: GA 068558)
Enumeration Date
2007-06-28
Last Update Date
2018-01-30
Business Address
Dr. ANITA KANITHAHALLI SHETTY M.D.
835 COGBURN AVE NW SUITE 100
MARIETTA, GA 30060-1031
Phone number: 770-422-5557
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Mailing Address
Dr. ANITA KANITHAHALLI SHETTY M.D.
5730 GLENRIDGE DR STE T100
ATLANTA, GA 30328-5747
Phone number: 404-939-9220
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