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Individual

DR. ABOLHASSAN YAMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8503 CAMPBELLTON ST, DOUGLASVILLE, GA 30134-1822
(770) 949-9985
(770) 949-6213
Mailing address
8503 CAMPBELLTON ST, DOUGLASVILLE, GA 30134-1822
(770) 949-9985
(770) 949-6213

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20501
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000177449E
GA
Enumeration date
11/04/2005
Last updated
04/12/2023
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