Individual
NILI NOURPARVAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 MEDICAL CENTER BLVD STE 390, LAWRENCEVILLE, GA 30046-3354
(404) 252-9063
Mailing address
115 RAPHAEL CT, ROSWELL, GA 30076-3404
(404) 771-6051
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10366
GA
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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