ANIKRAZA MOMIN

AUSTELL, GA
NPI1518465814
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2018-02-01
Last Update Date2018-02-01
Business Address
ANIKRAZA MOMIN PA
3950 AUSTELL RD
AUSTELL, GA 30106-1121
Phone number: 470-732-3886
Mailing Address
ANIKRAZA MOMIN PA
5665 NEW NORTHSIDE DR STE 320
ATLANTA, GA 30328-5834
Phone number: 770-874-5400
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