Individual
MRS. PARRI B ADJOODANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15200 COMMUNITY RD, GULFPORT, MS 39503-3085
(404) 273-5164
Mailing address
3037 WENDLOCK DR, MARIETTA, GA 30062-1406
(404) 273-5164
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
163297
THE NATIONAL BOARD OF SURGICAL TECHNOLOGY AND SURGICAL ASSISTING
—
Enumeration date
02/21/2021
Last updated
02/21/2021
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