Individual
FRED MUSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2015 PENNSYLVANIA AVE, MCDONOUGH, GA 30253-9120
(678) 467-3148
Mailing address
2015 PENNSYLVANIA AVE, MCDONOUGH, GA 30253-9120
(678) 467-3148
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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