Individual
UMME SAFA NUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1010 JOHNSON FERRY RD, MARIETTA, GA 30068
(770) 579-7980
Mailing address
1010 JOHNSON FERRY RD, MARIETTA, GA 30068-2108
(770) 579-7980
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
82498
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/02/2016
Last updated
09/26/2019
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