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Individual

ELTAYEB MOHAMED AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MBBS

Contact information

Practice address
5665 PEACHTREE DUNWOODY RD, ATLANTA, GA 30342-1764
(678) 843-7001
Mailing address
1115 SPRINGWOOD CONNECTOR UNIT 310, ATLANTA, GA 30328-5883
(470) 232-4124

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
11627
GA

Other

Enumeration date
11/14/2019
Last updated
11/14/2019
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