Provider Demographics
NPI:1083040588
Name:CAHILL, ANNA LEE BRADLEY (PAAA)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:LEE BRADLEY
Last Name:CAHILL
Suffix:
Gender:F
Credentials:PAAA
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:LEE
Other - Last Name:BRADLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CAA
Mailing Address - Street 1:1000 JOHNSON FERRY RD
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1606
Mailing Address - Country:US
Mailing Address - Phone:404-851-8917
Mailing Address - Fax:404-303-3636
Practice Address - Street 1:1000 JOHNSON FERRY RD
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1606
Practice Address - Country:US
Practice Address - Phone:404-851-8917
Practice Address - Fax:043-033-6364
Is Sole Proprietor?:No
Enumeration Date:2013-09-17
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA6904367H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant