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Vinisha Kalra

Physician Assistant in Fayetteville, GA. Individual provider (NPI-1).

NPI number1194581900
StatusActive
Last updated in NPPESFeb 28, 2024

Details

NPI
1194581900
Entity type
Individual (NPI-1)
Name
Vinisha Kalra
Sex
Female
Sole proprietor
No
Enumeration date
Feb 28, 2024
Certification date
Feb 28, 2024
Last updated
Feb 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes

Practice location

300 Grandmas Ln
Fayetteville, GA 30215-5913

Phone 762-822-7861

Mailing address

300 Grandmas Ln
Fayetteville, GA 30215-5913

Phone 762-822-7861

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