Individual
DR. IANA G. DZAGNIDZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
340 BOULEVARD NE, SUITE 324, ATLANTA, GA 30312-1273
(404) 849-9542
(404) 521-9261
Mailing address
493 CHATEAU DR NW, ATLANTA, GA 30305-1924
(404) 869-0203
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
056821
GA
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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