Individual
AVIDEH RAMEZANIFAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
2345 PEACHTREE RD NE, ATLANTA, GA 30305-4147
(404) 233-2101
Mailing address
2144 PEACHTREE RD NW APT 1026, ATLANTA, GA 30309-1768
(615) 496-0186
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHI-020736
GA
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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