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Organization

DR. MAURICE E. ZADEH, OPTOMETRIST, P.C.

Active
Other names
Family Eyecare of Roswell
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MAURICE E. ZADEH O.D. (OWNER)
(770) 992-6789
Entity
Organization

Contact information

Practice address
910 HOLCOMB BRIDGE RD, SUITE 100, ROSWELL, GA 30076-1981
(770) 992-6789
(770) 640-6789
Mailing address
910 HOLCOMB BRIDGE RD, STE 100, ROSWELL, GA 30076-1981
(770) 992-6789
(770) 640-6789

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GA001234
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000641319A
GA
Enumeration date
08/22/2005
Last updated
02/10/2014
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