Individual
AHMAD LUTFE M ABDUSSALAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 533-8406
(770) 533-8409
Mailing address
743 SPRING ST NE, GAINESVILLE, GA 30501-3715
(770) 533-8406
(770) 533-8409
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
061384
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
4301080219
MI
Other
Enumeration date
10/12/2007
Last updated
11/21/2014
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