Individual
ADEL A GHAFFARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1810 MULKEY RD STE 101, AUSTELL, GA 30106-1132
(678) 642-7039
(770) 475-5385
Mailing address
1810 MULKEY RD STE 101, AUSTELL, GA 30106-1132
(678) 642-7039
(770) 475-5385
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2574
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00387224
RAILROAD MEDICARE
GA
Enumeration date
08/07/2006
Last updated
01/25/2008
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