Individual
DR. MOHSEN KHOSHNEVISZADEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2400 MOUNT ZION PKWY, SOUTHWOOD MEDICAL CENTER - DEPT OF PODIATRY, JONESBORO, GA 30236-2500
(770) 603-3547
Mailing address
2710 MARGARET MITCHELL DR NW, ATLANTA, GA 30327-1841
(404) 549-9345
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
POD001005
GA
Other
Enumeration date
07/21/2006
Last updated
01/13/2022
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