Organization
LE REVE MEDICAL CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAHIN ZOHOORI MD (CEO/PRESIDENT)
(770) 575-2420
Entity
Organization
Contact information
Practice address
1827 POWERS FERRYY RD SE BLDG 7, SUITE 150, ATLANTA, GA 30339
(770) 575-2420
(770) 635-8432
Mailing address
1827 POWERS FERRYY RD SE BLDG 7, SUITE 150, ATLANTA, GA 30339
(770) 575-2420
(770) 635-8432
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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