Individual
AIDA GHOLAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-5000
Mailing address
677 CHURCH ST NE, MARIETTA, GA 30060-1101
(770) 793-5000
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
110135
GA
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
A199098
CA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/18/2022
Last updated
03/31/2026
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