Individual
NASIRA HUSSAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8954 HOSPITAL DRIVE, DOUGLASVILLE, GA 30134
(678) 838-2585
Mailing address
8954 HOSPITAL DRIVE, DOUGLASVILLE, GA 30134
(678) 838-2585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
067474
GA
208M00000X
Hospitalist Physician
Primary
067474
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/20/2009
Last updated
10/10/2019
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