Individual
NESRUDIN IBRAHIM HAMID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 COLLIER RD NW, SUITE 635, ATLANTA, GA 30309-1613
(404) 367-3014
(404) 367-3558
Mailing address
PO BOX 102321, ATLANTA, GA 30368-2321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
062885
GA
208M00000X
Hospitalist Physician
Primary
062885
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I113887
MEDICARE
GA
05
—
775661638
—
GA
Enumeration date
03/31/2008
Last updated
02/08/2011
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