NPI 1982084919 · live from the CMS NPI Registry
Anisa Ali, PA
Physician Assistant in Marietta, GA. National Provider Identifier 1982084919, active.
NPI record
| NPI | 1982084919 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 61 Whitcher St Ne Ste 4100, Marietta, GA 30060 |
| Practice phone | 770-590-4180 |
| Mailing address | 5665 New Northside Dr, Atlanta, GA 30328 |
| Enumerated | June 4, 2015 |
| Last updated | March 28, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | — (GA) |
| Physician Assistant primary | 363A00000X | 007593 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.