Individual
MOSTAFA NIKNAFS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1010 PRINCE AVE, SUITE 180, ATHENS, GA 30606-5805
(706) 548-2544
Mailing address
1010 PRINCE AVE, SUITE 180, ATHENS, GA 30606-5805
(706) 548-2544
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
528
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00299637B
—
GA
01
—
4201900002
DME
GA
Enumeration date
12/15/2005
Last updated
03/04/2008
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