Individual
MOHAMED MAZHERUDDIN MULLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, MPH
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
721 CARLYLE LK, DECATUR, GA 30033-4622
(251) 709-8491
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS01905
RI
Other
Enumeration date
12/08/2020
Last updated
12/08/2020
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