Individual
MUSTAPHA AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4186 BUFORD HWY NE STE J, ATLANTA, GA 30345-1067
(404) 709-2168
(404) 581-5953
Mailing address
4186 BUFORD HWY NE STE J, ATLANTA, GA 30345-1067
(404) 709-2168
(404) 581-5953
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/03/2016
Last updated
11/03/2016
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