Individual
TAREK A NESSOULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3211 IRIS DRIVE, COVINGTON, GA 30016
(770) 787-4042
(770) 787-4001
Mailing address
3211 IRIS DRIVE, COVINGTON, GA 30016
(770) 787-4042
(770) 787-4001
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
026905
GA
Other
Enumeration date
06/10/2005
Last updated
12/16/2013
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