Individual
IBRAHIM KHAIRY FAYED ELSHAMLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SC-A
Contact information
Practice address
55 ATLANTA ST SE STE 204, MARIETTA, GA 30060-1977
(678) 517-3428
(770) 485-1534
Mailing address
55 ATLANTA ST SE STE 204, MARIETTA, GA 30060-1977
(678) 517-3428
(770) 485-1534
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
25341
GA
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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