FAIROZ MATJAN RADTKE

SUWANEE, GA
NPI1114207032
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: GA  003766)
Enumeration Date2011-08-23
Last Update Date2018-06-26
Business Address
-- FAIROZ MATJAN RADTKE PA-C
5400 LAUREL SPRINGS PKWY SUITE 1401
SUWANEE, GA 30024-6056
Phone number: 678-513-2228
Mailing Address
-- FAIROZ MATJAN RADTKE PA-C
5850 EUBANK BLVD NE STE B32
ALBUQUERQUE, NM 87111-6127
Phone number: 678-513-2228
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