SearchGeorgia374J00000X

Gwynne Bakhtiari, BA, CPD, CCCE, CLD

NPI 1396552808 · on the registry since 2024 · sole proprietor

Practice

Address
4335 Alta Dr Apt 3303
Suwanee, GA 30024
Phone
(404) 569-4268

Registry record

Primary taxonomy
374J00000X
374J00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-12-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia