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Individual

DR. MUTA M. ISSA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD, MBA

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
042619
GA
208800000X
Urology Physician
42619
GA

Other

Enumeration date
07/11/2006
Last updated
05/10/2022
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