Individual
DR. MAHTAB MELISSA PARHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, DO
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-6190
Mailing address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/23/2020
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