Individual
DR. MITRA MOFID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2550 WINDY HILL ROAD SE, SUITE 103, MARIETTA, GA 30067-8607
(770) 952-0050
(770) 381-6451
Mailing address
3843 CHATTAHOOCHEE SUMMIT DR SE, ATLANTA, GA 30339-3253
(714) 328-0331
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
051166
GA
207N00000X
Dermatology Physician
Primary
38362
KY
207N00000X
Dermatology Physician
A62702
CA
207NS0135X
Procedural Dermatology Physician
051166
GA
207NS0135X
Procedural Dermatology Physician
38362
KY
207NS0135X
Procedural Dermatology Physician
A62702
CA
Other
Enumeration date
10/21/2005
Last updated
09/11/2025
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