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NPI Code Detail

MEDICARE: MRS. ANNA ROHAN HEALY P.A.

MEDICARE: MRS. ANNA ROHAN HEALY P.A.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant085003912IL
2363A00000XPhysician Assistant10294GA

General Provider Information

NPI Number : 1881994002
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNA ROHAN HEALY P.A.
Provider Business Mailing Address
First Line : 677 CHURCH ST NE
Second Line :
City : MARIETTA
State : GA
Zip : 30060-1101
Country : US
Telephone Number : 470-610-0133
Fax Number : 470-986-7220
Provider Business Practice Location Address
First Line : 677 CHURCH ST NE
Second Line :
City : MARIETTA
State : GA
Zip : 30060-1101
Country : US
Telephone Number : 470-610-0133
Fax Number : 470-986-7220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2010
Last Update Date : 04/07/2026

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