Individual
DR. IBRAHEEM R INNAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
677 CHURCH ST NE # 111, MARIETTA, GA 30060-1101
(770) 793-7750
(770) 793-7755
Mailing address
677 CHURCH ST NE # 111, MARIETTA, GA 30060-1101
(770) 793-7750
(770) 793-7755
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
89100
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2018
Last updated
09/09/2021
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