Organization
TAMIM KHARRAT MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHONNIE SIMS (OFFICE MANAGER)
(770) 345-2670
Entity
Organization
Contact information
Practice address
219 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 345-2670
(770) 345-2671
Mailing address
219 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 345-2670
(770) 345-2671
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
045382
GA
Other
Enumeration date
12/21/2007
Last updated
11/30/2012
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