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Individual

DR. NAZANIN KHADEM THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
895 CANTON RD NE BLDG 100, MARIETTA, GA 30060-8935
(770) 427-8111
Mailing address
4678 GLENFOREST DR NE, ROSWELL, GA 30075-5714
(404) 819-2742

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT002830
GA

Other

Enumeration date
08/06/2014
Last updated
07/21/2020
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