Individual
DR. MUTA M. ISSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MBA
Contact information
Practice address
1670 CLAIRMONT RD, AVAMC / UROLOGY (112), DECATUR, GA 30033-4004
(404) 728-4129
(404) 329-2201
Mailing address
1670 CLAIRMONTH ROAD, NE, AVAMC / UROLOGY (112), DECATUR, GA 30033
(404) 728-4129
(404) 329-2201
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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