Individual
ARTEM DJOURAEV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1456 MCLENDON DR STE B, DECATUR, GA 30033-1848
(404) 728-9766
Mailing address
1318 CAROLYN DR NE, ATLANTA, GA 30329-3547
(678) 860-3245
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT006857
GA
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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