TAI IWAMURA

DUNWOODY, GA
NPI1437514239
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: GA  8172)
Enumeration Date2015-12-21
Last Update Date2015-12-21
Business Address
-- TAI IWAMURA M.D.
4410 CHARLESTON PL
DUNWOODY, GA 30338-6463
Phone number: 770-633-8203
Mailing Address
-- TAI IWAMURA M.D.
4410 CHARLESTON PL
DUNWOODY, GA 30338-6463
Phone number: 770-633-8203