Individual
MOHAMED TALOULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 WINN WAY, DECATUR, GA 30030-1715
(404) 294-0499
Mailing address
445 WINN WAY, DECATUR, GA 30030-1707
(404) 294-0499
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN295158
GA
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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