Individual
RAFAK AWWAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2188 STEPHENS DR, SUITE A, TUCKER, GA 30084-4327
(678) 292-6230
Mailing address
2188 STEPHENS DR, SUITE A, TUCKER, GA 30084-4327
(678) 292-6230
Taxonomy
Speciality
Code
Description
License number
State
341600000X
Ambulance
Primary
059119434
GA
343900000X
Non-emergency Medical Transport (VAN)
059119434
GA
Other
Enumeration date
09/19/2016
Last updated
09/19/2016
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