Individual
SHABNAM NOURPARVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1255 GA-54, EMERGENCY DEPARTMENT, FAYETTEVILLE, GA 30214
(678) 491-7152
Mailing address
1255 GA-54, EMERGENCY DEPARTMENT, FAYETTEVILLE, GA 30214
(678) 491-7152
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
67247
TN
207P00000X
Emergency Medicine Physician
Primary
75797
GA
Other
Enumeration date
12/02/2009
Last updated
03/06/2023
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