Individual
FADUMO MOHAMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3688 CLEARVIEW AVE STE 209, DORAVILLE, GA 30340-2133
(470) 359-8623
Mailing address
3688 CLEARVIEW AVE STE 209, DORAVILLE, GA 30340-2133
(470) 359-8623
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
07/19/2025
Last updated
03/09/2026
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