Individual
MANDANA REZAEI-AMIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1686 ROSWELL RD, MARIETTA, GA 30062-3621
(770) 933-9333
(770) 579-9331
Mailing address
1686 ROSWELL RD, MARIETTA, GA 30062-3621
(770) 933-9333
(770) 579-9331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
046904
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000821675A
—
GA
Enumeration date
04/25/2006
Last updated
07/08/2007
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