Individual
DR. AMIR GHANIPOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1100 JOHNSON FY RD NE STE 108, ATLANTA, GA 30342-1733
(404) 531-9988
Mailing address
1100 JOHNSON FY RD NE STE 108, ATLANTA, GA 30342-1733
(404) 531-9988
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT003244
GA
Other
Enumeration date
06/17/2020
Last updated
06/17/2020
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