Individual
DR. ESRAA F DHABAAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
259 JONESBORO RD, MCDONOUGH, GA 30253-3769
(770) 957-8666
(770) 957-0375
Mailing address
290 COUNTRY CLUB DR, SUITE220, STOCKBRIDGE, GA 30281-9069
(678) 284-6300
(678) 284-6336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
070368
GA
363A00000X
Physician Assistant
070368
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/13/2010
Last updated
03/16/2015
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