Individual
ILAN IRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4646 N SHALLOWFORD RD, DUNWOODY, GA 30338-6308
(770) 676-6000
Mailing address
2828 CHICOPEE DR, DORAVILLE, GA 30360-2639
(404) 374-1924
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
Primary
—
—
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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