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Organization
SOUTH FULTON MEDICAL CENTER, LLC
Active
Organization
SOUTH FULTON MEDICAL CENTER, LLC
Active
Other names
south fulton medical center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDO M IBRAHIM D.C. (CHIROPRACTOR)
(404) 761-0332
Entity
Organization
Contact information
Practice address
777 CLEVELAND AVE SW, SUITE 406, ATLANTA, GA 30315-7129
(404) 761-0332
(404) 763-0135
Mailing address
777 CLEVELAND AVE SW, SUITE 406, ATLANTA, GA 30315-7129
(404) 761-0332
(404) 763-0135
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
CHIR006333
GA
111NR0400X
Rehabilitation Chiropractor
Primary
CHIR007116
GA
Other
Enumeration date
05/07/2008
Last updated
05/31/2008
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