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Individual

DR. ABDALSAMIH TAEB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1664 MULKEY RD, AUSTELL, GA 30106-1114
(770) 422-1372
Mailing address
1664 MULKEY RD, AUSTELL, GA 30106-1114
(770) 422-1372

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD452290
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0116029789
VA
207RP1001X
Pulmonary Disease Physician
0116029789
VA
207RP1001X
Pulmonary Disease Physician
Primary
84225
GA
208M00000X
Hospitalist Physician
MD452290
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102987999
PA
Enumeration date
07/09/2011
Last updated
02/04/2020
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