Individual
BASIL SALEM AL-AWABDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
488 KENNESAW AVE NW STE 200, MARIETTA, GA 30060-9409
(770) 427-3075
(770) 427-3261
Mailing address
488 KENNESAW AVE NW STE 200, MARIETTA, GA 30060-9409
(770) 427-3075
(770) 427-3261
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
68427
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003126066A
—
GA
Enumeration date
05/17/2007
Last updated
08/15/2024
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