Individual
DR. EDUARD FATAKHOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 S MAIN ST STE B3, ALPHARETTA, GA 30009-1958
(404) 836-9906
(470) 545-4768
Mailing address
401 S MAIN ST STE B3, ALPHARETTA, GA 30009-1958
(404) 836-9906
(470) 545-4768
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
005563
GA
Other
Enumeration date
06/26/2012
Last updated
04/26/2022
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