Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 000697 | GA |
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 0101245014 | VA |
N | 207YS0123X | Facial Plastic Surgeon | 64268 | GA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 64268 | GA |
NPI | 1801072459 |
---|---|
Provider Name | Dr. Anita B Sethna |
First Address | Atlanta, GA 30327-1624 |
Second Address | Atlanta, GA 30327-1624 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/01/2008 |
Last Update Date | 05/08/2021 |