Individual
EBTISAM MOHAMMED ALUMIN OSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
12 EXECUTIVE PARK DR NE, ATLANTA, GA 30329-2206
(404) 727-1452
Mailing address
780 CANTON RD NE STE 400, MARIETTA, GA 30060-7298
(770) 422-3602
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
84013
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/15/2015
Last updated
10/01/2020
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