Individual
DR. GHOLAM REZA PEZESHKIAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 N MAIN ST, CHATTAHOOCHEE, FL 32324-1107
(850) 663-7611
Mailing address
100 N MAIN ST, CHATTAHOOCHEE, FL 32324-1107
(850) 663-7611
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME28198
FL
Other
Enumeration date
05/02/2006
Last updated
07/08/2007
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