Individual
ILHAM ISMAIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1095 CROSSINGS CT, STONE MOUNTAIN, GA 30083-5276
(206) 661-5391
Mailing address
1095 CROSSINGS CT, STONE MOUNTAIN, GA 30083-5276
(206) 661-5391
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
GA
171W00000X
Contractor
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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