Provider Demographics
NPI:1366898330
Name:ANUFORO, JOSEPHINE U (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPHINE
Middle Name:U
Last Name:ANUFORO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:280 MERCHANTS SQ
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:GA
Mailing Address - Zip Code:30132-5029
Mailing Address - Country:US
Mailing Address - Phone:678-398-9758
Mailing Address - Fax:404-692-5438
Practice Address - Street 1:280 MERCHANTS SQ
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:GA
Practice Address - Zip Code:30132-5029
Practice Address - Country:US
Practice Address - Phone:678-398-9758
Practice Address - Fax:404-692-5438
Is Sole Proprietor?:No
Enumeration Date:2016-05-10
Last Update Date:2024-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA84054207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine