Individual
TANNAZ MODARESI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C
Contact information
Practice address
3800 HOLCOMB BRIDGE RD STE D, NORCROSS, GA 30092-2230
(770) 800-1000
(770) 800-1000
Mailing address
3800 HOLCOMB BRIDGE RD STE D, NORCROSS, GA 30092-2230
(770) 800-1000
(770) 800-1000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR008995
GA
Other
Enumeration date
09/27/2012
Last updated
06/09/2015
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