Individual
WISSAM A JABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST NE, MOT 6TH FLOOR CARDIOLOGY, ATLANTA, GA 30308-2208
(404) 686-1474
(404) 686-4445
Mailing address
550 PEACHTREE ST NE, MOT 6TH FLOOR CARDIOLOGY, ATLANTA, GA 30308-2208
(404) 686-1474
(404) 686-4445
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
66954
GA
207RI0011X
Interventional Cardiology Physician
Primary
66954
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1053390427
—
IA
01
—
421417307P4
UHC/RIVER VALLEY/JD PREMIER
IA
Enumeration date
01/12/2006
Last updated
08/20/2015
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