Individual
DR. GHOLAM R BAKHTIARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41 JESSE HILL JR DR NE, ATLANTA, GA 30303-2607
(404) 688-2211
(404) 688-2226
Mailing address
41 JESSE HILL JR DR, ATLANTA, GA 30303
(770) 931-3227
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PHRE008399
GA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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