OMID MIDANAKY

DECATUR, GA
NPI1972021962
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2017-08-30
Last Update Date2017-08-30
Business Address
OMID MIDANAKY PA-C
2801 N DECATUR RD
DECATUR, GA 30033-5949
Phone number: 404-296-5055
Mailing Address
OMID MIDANAKY PA-C
810 WHISPERWOOD TRL
ACWORTH, GA 30102-7586
Phone number: 404-704-2813
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