Individual
CHRISTIAN AJIZIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
6035 PEACHTREE RD STE C120, DORAVILLE, GA 30360-3234
(678) 514-3270
Mailing address
1428 BRANCH DR, TUCKER, GA 30084-1278
(678) 246-9326
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP013304
GA
Other
Enumeration date
10/01/2024
Last updated
10/01/2024
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