Individual
SHAHRAM REZAIAMIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 EAGLES LANDING PKWY, SOUTH ATLANTA NEUROSURGERY, STOCKBRIDGE, GA 30281
(770) 997-0600
(770) 991-5576
Mailing address
900 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281
(770) 997-0600
(770) 991-5576
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
049939
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000908641A
—
GA
Enumeration date
10/30/2007
Last updated
07/27/2015
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