Organization
ABBINGH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOUR ABBOUSHI M.D. (DOCTOR)
(770) 929-0634
Entity
Organization
Contact information
Practice address
1368 WELLBROOK CIR NE, SUITE B, CONYERS, GA 30012-3949
(770) 929-0634
(770) 929-8716
Mailing address
1368 WELLBROOK CIR NE, SUITE B, CONYERS, GA 30012-3949
(770) 929-0634
(770) 929-8716
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
60695
GA
174400000X
Specialist
Primary
60991
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
314646331B
—
GA
05
—
417660047B
—
GA
Enumeration date
11/19/2012
Last updated
11/19/2012
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