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Individual

DR. MAURICE EBRAHIM ZADEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
910 HOLCOMB BRIDGE RD, STE 100, ROSWELL, GA 30076-1975
(770) 992-6789
(770) 640-6789
Mailing address
910 HOLCOMB BRIDGE RD, STE 100, ROSWELL, GA 30076-1975
(770) 992-6789
(770) 664-6789

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
GA001234
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000641319A
GA
Enumeration date
08/26/2005
Last updated
11/04/2013
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