Individual
ABDOLALI MORADIMEHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1582 BRENTWOOD DR, MARIETTA, GA 30062-2041
(770) 359-9862
Mailing address
1582 BRENTWOOD DR, MARIETTA, GA 30062-2041
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RPH025011
GA
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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