Healthcare Provider Details

I. General information

NPI: 1659353340
Provider Name (Legal Business Name): SELVI N PALANIAPPAN MS, CGC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/17/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 JOHNSON FERRY RD NE DEPARTMENT 796
ATLANTA GA
30342-1606
US

IV. Provider business mailing address

3359 GOLF CLUB LN
NASHVILLE TN
37215-1579
US

V. Phone/Fax

Practice location:
  • Phone: 404-851-6284
  • Fax: 404-851-6847
Mailing address:
  • Phone: 404-966-4891
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code170300000X
TaxonomyGenetic Counselor (M.S.)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: