Healthcare Provider Details

I. General information

NPI: 1093107799
Provider Name (Legal Business Name): ANJHARI MATTHEWS NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANJHARI JULIEN BATIESTE NP

II. Dates (important events)

Enumeration Date: 03/04/2015
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 JOHNSON FERRY RD STE 350
MARIETTA GA
30068-5420
US

IV. Provider business mailing address

643 MAIN ST
PALMETTO GA
30268-1138
US

V. Phone/Fax

Practice location:
  • Phone: 770-709-6382
  • Fax: 770-727-0201
Mailing address:
  • Phone: 770-709-6382
  • Fax: 770-727-0201

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LC1500X
TaxonomyCommunity Health Nurse Practitioner
License NumberAP07779
License Number StateLA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number258990
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: