Individual
SEYED MANSOUR JAZAYERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
833 N HAIRSTON RD, STONE MOUNTAIN, GA 30083-3423
(770) 879-5553
Mailing address
833 N HAIRSTON RD, STONE MOUNTAIN, GA 30083-3423
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
004403
GA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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