Individual
SUMAYAH JAMILA TALIAFERRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3131 MAPLE DR NE, SUITE 102, ATLANTA, GA 30305-2515
(404) 816-7900
(404) 816-7929
Mailing address
PO BOX 52226, ATLANTA, GA 30355-0226
(404) 816-7900
(404) 816-7929
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
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