Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 83118 | GA |
Y | 111NI0900X | Internist | 83118 | GA |
NPI | 1003261967 |
---|---|
Provider Name | Anu Kurl |
First Address | Decatur, GA 30033-5918 |
Second Address | Decatur, GA 30033-5918 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2016 |
Last Update Date | 24/01/2020 |