Provider Demographics
NPI:1174785844
Name:JAMAL, ANILA (MD)
Entity type:Individual
Prefix:DR
First Name:ANILA
Middle Name:
Last Name:JAMAL
Suffix:
Gender:F
Credentials:MD
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:NORTHSIDE HOSPITAL- MANAGED CARE DEPT
Mailing Address - Street 2:1000 JOHNSON FERRY RD
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1606
Mailing Address - Country:US
Mailing Address - Phone:404-300-2476
Mailing Address - Fax:404-250-8010
Practice Address - Street 1:1505 NORTHSIDE BLVD
Practice Address - Street 2:SUITE 4400
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-8209
Practice Address - Country:US
Practice Address - Phone:678-513-8800
Practice Address - Fax:678-513-8500
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2020-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GA003059207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine