Individual
JUMA GASSIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7949 ROSWELL RD., APT. F, ATLANTA, GA 30350
(404) 483-2021
Mailing address
7949 ROSWELL RD, APT. F, ATLANTA, GA 30350-7045
(404) 483-2021
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
11-220
WI
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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