Individual
DR. SARAH KAVIANPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, SCM
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-2273
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
010016
GA
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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