Individual
GHAZAL MOTAKEF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
365 VICTORIAN LN, JOHNS CREEK, GA 30097-5769
(678) 551-0442
Mailing address
365 VICTORIAN LN, JOHNS CREEK, GA 30097-5769
(678) 551-0442
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
10053
GA
367H00000X
Anesthesiologist Assistant
—
GA
Other
Enumeration date
06/14/2020
Last updated
04/26/2023
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