Individual
MOHAMMAD ALI AL AZEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3747 ROSWELL RD STE 215, MARIETTA, GA 30062-6228
(770) 422-1372
Mailing address
PO BOX 403631, ATLANTA, GA 30384-3631
(770) 740-0895
(770) 740-0896
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
41254
GA
207RP1001X
Pulmonary Disease Physician
Primary
41254
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000788444C
—
GA
Enumeration date
10/12/2006
Last updated
02/28/2025
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