Organization
SOUTH FULTON MEDICAL CENTER, LLC
Active
Other names
south fulton medical center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ABDO M IBRAHIM D.C. (CHIROPRACTOR)
(404) 761-0332
Entity
Organization
Contact information
Practice address
777 CLEVELAND AVE SW, SUITE 406, ATLANTA, GA 30315-7129
(404) 761-0332
(404) 763-0135
Mailing address
777 CLEVELAND AVE SW, SUITE 406, ATLANTA, GA 30315-7129
(404) 761-0332
(404) 763-0135
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
CHIR006333
GA
111NR0400X
Rehabilitation Chiropractor
Primary
CHIR007116
GA
Other
Enumeration date
05/07/2008
Last updated
05/31/2008
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