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Individual

BASHAR SAMIH STAITIEH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
615 MICHAEL ST NE, SUITE 211, ATLANTA, GA 30322-1047
(404) 712-8286
(404) 712-8227
Mailing address
615 MICHAEL ST NE, SUITE 211, ATLANTA, GA 30322-1047
(404) 712-8286
(404) 712-8227

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
066080
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
066080
GA
207RP1001X
Pulmonary Disease Physician
Primary
066080
GA

Other

Enumeration date
06/04/2007
Last updated
10/08/2015
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