Individual
ABDUL I SHAMSID-DEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 WOODLAND LN SW, MABLETON, GA 30126-4334
(404) 886-7298
Mailing address
206 WOODLAND LN SW, MABLETON, GA 30126-4334
(404) 886-7298
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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