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1205678554
SHAYAN BAGHERI
CUMMING, GA
NPI
1205678554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
363AM0700X Physician Assistant, Medical
Enumeration Date
2024-06-08
Last Update Date
2024-06-18
Business Address
Mr. SHAYAN BAGHERI PA-C
204 CANTON RD
CUMMING, GA 30040-2304
Phone number: 770-886-5437
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Mailing Address
Mr. SHAYAN BAGHERI PA-C
204 CANTON RD
CUMMING, GA 30040-2304
Phone number: 770-886-5437
Copy
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