Individual
SUMAYAH JAMILA TALIAFERRO
Active
Individual
SUMAYAH JAMILA TALIAFERRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
059337
GA
207N00000X
Dermatology Physician
Primary
059337
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
059337
STATE LICENSE
—
Enumeration date
06/26/2007
Last updated
07/01/2011
Update your record
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