Individual
HAKIM V MAURICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
STUDENT
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-4411
Mailing address
4063 LAUREL BEND DR, SNELLVILLE, GA 30039-4125
(404) 428-4453
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
11402
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/15/2022
Last updated
04/15/2024
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