Individual
DR. MOUSA ELHAMMALI MOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1136 CLEVELAND AVE, SUITE 410, EAST POINT, GA 30344-3618
(404) 762-6140
(404) 762-7922
Mailing address
1136 CLEVELAND AVE, SUITE 410, EAST POINT, GA 30344-3618
(404) 762-6140
(404) 762-7922
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
03574
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000590554J
—
GA
05
—
00590554D
—
GA
Enumeration date
04/18/2006
Last updated
05/16/2013
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