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Individual
DR. SHARIFA M ABOU-MEDIENE
Active
Individual
DR. SHARIFA M ABOU-MEDIENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301089798
MI
208D00000X
General Practice Physician
Primary
78683
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003199810E
—
GA
01
—
G00233E
MEDICARE
GA
Enumeration date
07/25/2007
Last updated
09/16/2020
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