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Individual

MR. TIMOTHY HAKIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, CGC

Contact information

Practice address
1100 JOHNSON FY RD NE STE 350, ATLANTA, GA 30342-1740
(404) 851-6284
Mailing address
1661 BERKFORD CT NE, BROOKHAVEN, GA 30319-1707
(928) 978-5435

Taxonomy

Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
480
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20193
ABGC: CERTIFIED GENETIC COUNSELOR AND DIPLOMATE
01
480
GENETIC COUNSELOR LICENSE
GA
Enumeration date
02/17/2022
Last updated
02/17/2022
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