Individual
DR. BEKA BAKHTADZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 712-2000
Mailing address
1659 BRIARCLIFF RD NE, #1331A, ATLANTA, GA 30306-2119
(678) 358-0300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
80167
GA
Other
Enumeration date
07/06/2015
Last updated
07/02/2019
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