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1861545790
JAVAD KENNETH TAVASSOLI
SAVANNAH, GA
NPI
1861545790
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: GA 000421)
Enumeration Date
2007-01-22
Last Update Date
2007-07-08
Business Address
Dr. JAVAD KENNETH TAVASSOLI M.D.
4700 WATERS AVE RM 1300
SAVANNAH, GA 31404-6220
Phone number: 912-350-6664
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Mailing Address
Dr. JAVAD KENNETH TAVASSOLI M.D.
4700 WATERS AVE RM 1300
SAVANNAH, GA 31404-6220
Phone number: 912-350-6664
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