Individual
PAYMAN SABETGHADAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 272-6195
Mailing address
1200 MEMORIAL DR, DALTON, GA 30720-2529
(706) 272-6195
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
077908
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003190619B
—
GA
Enumeration date
05/12/2014
Last updated
03/19/2021
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