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MRS. KHAYRIYYAH SALAAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
2200 HIGHWAY 155 N, MCDONOUGH, GA 30252-4846
(678) 490-0341
Mailing address
3333 RIVERWOOD PKWY SE STE 250, ATLANTA, GA 30339-3304
(770) 914-0116

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
068062
GA
363LP0200X
Pediatric Nurse Practitioner
068062
GA

Other

Enumeration date
09/18/2007
Last updated
11/04/2024
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