Individual
TAYABA FATEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4775 JIMMY CARTER BLVD, STE 101, NORCROSS, GA 30093
(770) 717-0033
(770) 806-0901
Mailing address
3305 SUGARLOAF PKWY, LAWRENCEVILLE, GA 30044-5483
(770) 717-0033
(770) 717-0028
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
045783
GA
Other
Enumeration date
05/08/2006
Last updated
08/13/2020
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