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1609863802
ALI MORTAZAVI
AUSTELL, GA
NPI
1609863802
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: GA 054865)
Enumeration Date
2005-10-03
Last Update Date
2016-10-24
Business Address
Dr. ALI MORTAZAVI D.O.
2041 MESA VALLEY WAY SUITE 100
AUSTELL, GA 30106-8157
Phone number: 770-944-1100
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Mailing Address
Dr. ALI MORTAZAVI D.O.
2041 MESA VALLEY WAY SUITE 100
AUSTELL, GA 30106-8157
Phone number: 770-944-1100
Copy
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