MEDICARE: DR. MITRA MOFID M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207NS0135X	Procedural Dermatology Physician	051166	GA
2	207NS0135X	Procedural Dermatology Physician	A62702	CA
3	207NS0135X	Procedural Dermatology Physician	38362	KY
4	207N00000X	Dermatology Physician	051166	GA
5	207N00000X	Dermatology Physician	A62702	CA
6	207N00000X	Dermatology Physician	38362	KY

General Provider Information

NPI Number	:	1669462610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MITRA MOFID M.D.

Provider Business Mailing Address
First Line	:	3843 CHATTAHOOCHEE SUMMIT DR SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-3253
Country	:	US
Telephone Number	:	714-328-0331
Fax Number	:

Provider Business Practice Location Address
First Line	:	2550 WINDY HILL ROAD SE
Second Line	:	SUITE 103
City	:	MARIETTA
State	:	GA
Zip	:	30067-8607
Country	:	US
Telephone Number	:	770-952-0050
Fax Number	:	770-381-6451

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/21/2005
Last Update Date	:	09/11/2025

Similar Medicare Providers

1720934912 — NEW SOUTH MEDICAL GA, PC
Practice Location Address:

2550 WINDY HILL RD SE STE 108A
MARIETTA, GA
30067-8607

Practice Phone: 770-993-1000
Practice Fax:

1194671396 — EMPIRE REHAB GA, PC
Practice Location Address:

2550 WINDY HILL RD SE STE 108B
MARIETTA, GA
30067-8607

Practice Phone: 770-993-1000
Practice Fax:

1740259514 — DR. RICHARD W KING JR. M.D.
Practice Location Address:

2550 WINDY HILL RD SE
MARIETTA, GA
30067-8607

Practice Phone: 678-303-3200
Practice Fax: 678-303-3205

1972524700 — DR. MICHELLE RAY MARTIN M.D.
Practice Location Address:

2550 WINDY HILL RD SE STE 106
MARIETTA, GA
30067-8607

Practice Phone: 770-980-1110
Practice Fax: 770-980-1210

1871752410 — PEARL MEDICAL & ASSOCIATES, LLC
Practice Location Address:

2550 WINDY HILL RD SE STE 109
MARIETTA, GA
30067-8607

Practice Phone: 770-952-7477
Practice Fax:

1487378071 — RESTORE FIRST HEALTH MARIETTA LLC
Practice Location Address:

2550 WINDY HILL RD SE STE 115
MARIETTA, GA
30067-8607

Practice Phone: 678-580-2684
Practice Fax:

Directions to “ DR. MITRA MOFID M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.