Individual
SAMMY M. MUGAMBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3620 M L KING JR DR SW, ATLANTA, GA 30331-3711
(404) 696-7300
(404) 699-3514
Mailing address
3620 M L KING JR DR SW, ATLANTA, GA 30331-3711
(404) 696-7300
(404) 699-3514
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
056739
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2583820
UNITED HEALTH CARE
GA
01
—
7605112
CIGNA
GA
01
—
7974749
AETNA
GA
05
—
860055859G
—
GA
05
—
860055859H
—
GA
05
—
860055859I
—
GA
05
—
860055859J
—
GA
05
—
860055859K
—
GA
05
—
860055859L
—
GA
05
—
860055859M
—
GA
Enumeration date
07/19/2006
Last updated
12/17/2020
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