Organization
SOUTH ATLANTA NEUROSURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHRAM REZAIAMIRI M.D. (PHYSICIAN)
(770) 997-0600
Entity
Organization
Contact information
Practice address
900 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-7343
(770) 997-0600
Mailing address
900 EAGLES LANDING PKWY, STOCKBRIDGE, GA 30281-7343
(770) 997-0600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
049939
GA
Other
Enumeration date
10/29/2007
Last updated
08/19/2013
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