Organization
NASSAR ENTERPRISES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHMED NASSAR M.D. (PRESIDENT/ OWNER)
(404) 766-6268
Entity
Organization
Contact information
Practice address
777 CLEVELAND AVE SW, SUITE 616, ATLANTA, GA 30315-7116
(404) 766-6268
Mailing address
777 CLEVELAND AVE SW, SUITE 616, ATLANTA, GA 30315-7129
(404) 766-6268
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
054428
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
971776772B
—
GA
01
—
P00479394
RAIL ROAD MEDICARE
GA
Enumeration date
11/08/2007
Last updated
08/06/2009
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