MEDICARE: MS. AIMEE E. A. ANIDO MS

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
1	170300000X	Genetic Counselor (M.S.)

General Provider Information

NPI Number	:	1982693347
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AIMEE E. A. ANIDO MS

Provider Business Mailing Address
First Line	:	1067 LANIER BLVD NE
Second Line	:	APT C
City	:	ATLANTA
State	:	GA
Zip	:	30306-3546
Country	:	US
Telephone Number	:	404-498-3870
Fax Number	:	404-495-3550

Provider Business Practice Location Address
First Line	:	1600 CLIFTON RD NE
Second Line	:	MAIL-STOP E86
City	:	ATLANTA
State	:	GA
Zip	:	30329-4018
Country	:	US
Telephone Number	:	404-778-8481
Fax Number	:	404-778-8562

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	07/08/2007

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