person
Fairoz Matjan Radtke, PA-C
Medical Physician Assistant in Suwanee, Georgia
NPI 1114207032

Fairoz Matjan Radtke is a Medical Physician Assistant based in Albuquerque, GA and is specialized in Medical. Fairoz Matjan Radtke practices in Suwanee, GA and has the professional credentials of PA-C. The NPI Number for Fairoz Matjan Radtke is 1114207032 and holds a License No. 003766 (Georgia).

The current practice location address for Fairoz Matjan Radtke is 5400 Laurel Springs Pkwy, Suwanee, GA and can be reached out via phone at 678-513-2228 and via fax at 678-513-1147.

Location: 5400 Laurel Springs Pkwy, Suwanee, GA, 87111-6127
person
Provider Profile Details
NPI Number
1114207032
Provider Name
Fairoz Matjan Radtke
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
5400 Laurel Springs Pkwy, Suwanee, GA, 87111-6127
Phone Number
678-513-2228
Fax Number
678-513-1147
Provider Enumeration Date
08/23/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5400 Laurel Springs Pkwy
City
State
Zip
30024-6056
Phone Number
678-513-2228
Fax Number
678-513-1147
person
Provider Business Mailing Address Details
Address
5400 Laurel Springs Pkwy
City
State
Zip
30024-6056
Phone Number
678-513-2228
Fax Number
678-513-1147
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
003766 (Georgia)
Definition
Definition to come...
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