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Individual

EMAN HADDAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3215 SUMMER STREAM LN NW, KENNESAW, GA 30152-5883
(404) 388-8136
Mailing address
3215 SUMMER STREAM LN NW, KENNESAW, GA 30152-5883
(404) 388-8136

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN280248
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN280248
GA

Other

Enumeration date
09/11/2018
Last updated
04/24/2025
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