Individual
MINKAILU SESAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
852 DACULA RD, DACULA, GA 30019-3185
(770) 848-9380
(770) 848-9381
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
055700
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10065391
AMERIGROUP
GA
01
—
349829
WELLCARE
GA
05
—
435245270E
—
GA
01
—
52171977-006
BCBS
GA
05
—
G55700
—
SC
01
—
P00286027
RR MEDICARE
GA
Enumeration date
05/25/2006
Last updated
10/07/2020
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