Organization
GEORGIA GYNECOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOJGAN KHATAMI M.D. (OWNER/PHYSICIAN)
(770) 427-2533
Entity
Organization
Contact information
Practice address
1690 STONE VILLAGE LN NW, SUITE 401, KENNESAW, GA 30152-7776
(770) 427-2533
Mailing address
1690 STONE VILLAGE LN NW, SUITE 401, KENNESAW, GA 30152-7776
(770) 427-2533
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
09/07/2007
Last updated
09/07/2007
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