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Organization

DR. AMIR BORHANIPOOR OD

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. AMIR BORHANIPOOR OD (OWNER)
(770) 717-9455
Entity
Organization

Contact information

Practice address
4004 LAWRENCEVILLE HWY NW, LILBURN, GA 30047-2820
(770) 717-9455
(770) 717-9416
Mailing address
4004 LAWRENCEVILLE HWY NW, LILBURN, GA 30047-2820
(770) 717-9455
(770) 717-9416

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1871
GA

Other

Enumeration date
01/16/2009
Last updated
01/16/2009
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