Organization
JAFAR TABATABAI M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAFAR TABATABAI M.D. (OWNER)
(770) 469-8874
Entity
Organization
Contact information
Practice address
7961 HIGHWAY 92 STE 100, WOODSTOCK, GA 30189-5209
(770) 627-2434
(770) 627-5347
Mailing address
1037 THIRD ST, STONE MOUNTAIN, GA 30083-3025
(770) 469-8874
(770) 879-0317
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
14868
GA
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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