Individual
DR. MASTOUREH AHMADPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1550 ARBOR PLACE MALL, DOUGLASVILLE, GA 30135-7108
(404) 931-3304
Mailing address
1550 ARBOR PLACE MALL, DOUGLASVILLE, GA 30135-7108
(404) 931-3304
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPT002671
GA
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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