Kourosh Farahvashi, OD

NPI #1417419508 in Covington, Georgia

Provider Information

NPI Number: 1417419508
Entity Type: Individual
Name: Kourosh Farahvashi, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Apr 5, 2019
Last Updated: Apr 5, 2019

Practice Location

Address: 3159 HIGHWAY 278 NE
City: Covington
State: Georgia
ZIP Code: 30014-2301
Phone: (678) 660-7402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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