Individual
DR. ALI KASSAMALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
400 TOWER RD NE STE 350, MARIETTA, GA 30060-9415
(404) 920-4950
(404) 920-4959
Mailing address
3390 PEACHTREE RD NE STE 1500, ATLANTA, GA 30326-2822
(404) 920-4950
(770) 252-7513
Taxonomy
Speciality
Code
Description
License number
State
193400000X
Single Specialty Group
076333
GA
207LP2900X
Pain Medicine (Anesthesiology) Physician
076333
GA
208VP0014X
Interventional Pain Medicine Physician
Primary
076333
GA
390200000X
Student in an Organized Health Care Education/Training Program
TRN16412
FL
Other
Enumeration date
06/21/2011
Last updated
07/09/2020
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