Provider Demographics
NPI:1043876410
Name:NAY, ANNA CAROLYN (DO)
Entity type:Individual
Prefix:DR
First Name:ANNA
Middle Name:CAROLYN
Last Name:NAY
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 N ANGIER AVE NE UNIT 1341
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30308-3117
Mailing Address - Country:US
Mailing Address - Phone:816-405-7096
Mailing Address - Fax:
Practice Address - Street 1:500 MEDICAL CENTER BLVD STE 135
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-8708
Practice Address - Country:US
Practice Address - Phone:678-312-3317
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-11
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA92319207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine