Individual
MUSHAIRAT MAMUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1121 JOHNSON FERRY RD STE 450, MARIETTA, GA 30068-5433
(770) 694-6349
Mailing address
1121 JOHNSON FERRY RD STE 450, MARIETTA, GA 30068-5433
(770) 694-6349
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
04/28/2023
Last updated
09/18/2025
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