Individual
DR. YAZAN HOUSSAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 PROFESSIONAL DR, STE 110, LAWRENCEVILLE, GA 30046-7651
(770) 995-0555
(770) 995-0682
Mailing address
600 PROFESSIONAL DR, STE 110, LAWRENCEVILLE, GA 30046-7651
(770) 995-0555
(770) 995-0682
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
028011
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000311011A
—
GA
Enumeration date
08/02/2005
Last updated
10/07/2011
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