Individual
MIRIAM ABOUELNASR GOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3650 STEVE REYNOLDS BLVD, DULUTH, GA 30096-4506
(404) 365-0966
Mailing address
3650 STEVE REYNOLDS BLVD, DULUTH, GA 30096-4506
(404) 365-0966
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1133611
GA
Other
Enumeration date
07/07/2016
Last updated
04/14/2022
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