Individual
ABDUL NIAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3745
(404) 294-3710
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-3745
(404) 294-3710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN216874
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN216874
LICENSE
GA
Enumeration date
06/28/2013
Last updated
09/02/2022
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