Individual
LAURA CAPALBO EHTESHAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
105 COLLIER RD NW, SUITE 5020, ATLANTA, GA 30309-1710
(404) 351-7467
(404) 719-4113
Mailing address
105 COLLIER RD NW, SUITE 5020, ATLANTA, GA 30309-1710
(404) 351-7467
(404) 719-4113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6667
GA
Other
Enumeration date
12/12/2012
Last updated
12/04/2015
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