Individual
ANAHID A EBRAHIMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
144 BILL CARRUTH PKWY, SUITE 3600, HIRAM, GA 30141
(678) 486-5500
(678) 486-5502
Mailing address
1355 PEACHTREE ST NE, SUITE 1600, ATLANTA, GA 30309-3212
(678) 486-5500
(678) 486-5502
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
002651
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
754506157
—
GA
Enumeration date
01/29/2008
Last updated
09/05/2018
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