Individual
QUANZETTA B HABBEB-ULLAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2011 EISENHOWER DR, SAVANNAH, GA 31406-3905
(912) 356-2157
(912) 691-6807
Mailing address
1395 EISENHOWER DR, SAVANNAH, GA 31406-3901
(912) 356-2157
(912) 691-6807
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN076884
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000816219B
—
GA
Enumeration date
04/08/2006
Last updated
10/12/2016
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