Individual
DR. EDDIE K. ABDALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
980 JOHNSON FERRY RD, SUITE 170, ATLANTA, GA 30342-1626
(404) 300-2140
(404) 300-2240
Mailing address
980 JOHNSON FERRY RD, SUITE 170, ATLANTA, GA 30342-1626
(404) 300-2140
(404) 300-2240
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
076624
GA
2086X0206X
Surgical Oncology Physician
Primary
K7959
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020043965
RR MEDICARE
TX
05
—
37438101
—
TX
01
—
84691X
BCBS
TX
Enumeration date
10/04/2006
Last updated
07/24/2025
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