Individual
MBUOMDA NASAH LIMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAAA
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106
(770) 732-3649
(770) 732-3648
Mailing address
PO BOX 155, AUSTELL, GA 30168-1002
(770) 732-3649
(770) 732-3648
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
004639
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
205988194A
—
GA
Enumeration date
04/06/2006
Last updated
08/10/2016
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