Individual
MISS IZNA AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1 BALTIMORE PL NW STE 400, ATLANTA, GA 30308-2117
(404) 400-1230
Mailing address
1055 BRADY AVE NW # 520, ATLANTA, GA 30318-5527
(404) 429-6007
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
11011
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/28/2019
Last updated
06/10/2022
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