Individual
AFFAN WASTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3050
(404) 797-3355
Mailing address
3705 FOXMOOR CIR, JOHNS CREEK, GA 30022-7115
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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