KEREN AVIVA BASHAN-GILZENRAT

MARIETTA, GA
NPI1700047784
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2086S0127X Surgery, Trauma Surgery
(Licence: GA  070045)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: NC  2014-01249)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2008-06-22
Last Update Date2019-10-16
Business Address
Dr. KEREN AVIVA BASHAN-GILZENRAT M.D.
55 WHITCHER ST NE STE 130
MARIETTA, GA 30060
Phone number: 770-426-1629
Mailing Address
Dr. KEREN AVIVA BASHAN-GILZENRAT M.D.
805 SANDY PLAINS ROAD MEDICAL STAFF SERVICES
MARIETTA, GA 30066-6340
Phone number: