Kannan, Anitha
Kannan, Anitha is an sole proprietor health care provider with primary practice located at 198 S Houston Lake Rd Ste B , Warner Robins GA 31088-6475. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Kannan, Anitha can be contacted via phone (478) 971-1500.Contact Information
Primary practice address
198 S Houston Lake Rd Ste B
Warner Robins GA 31088-6475
Phone: (478) 971-1500
Fax: (478) 971-2112
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1927 | Georgia |
Profile Details
| NPI number | 1669698866 |
|---|---|
| LBN Legal business name | Kannan, Anitha |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Feb 1st, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669698866 | NPPES |
| Georgia | MEDICAID | 207784733C |
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