Individual
NADER A DBOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1501 MILSTEAD RD NE, SUITE 120, CONYERS, GA 30012
(678) 745-3033
(678) 745-3034
Mailing address
1355 PEACHTREE ST NE STE 1600, ATLANTA, GA 30309-3276
(678) 223-7774
(678) 223-7799
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
065757
GA
207RG0100X
Gastroenterology Physician
48577
TN
207RI0008X
Hepatology Physician
065757
GA
207RT0003X
Transplant Hepatology Physician
48577
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003176404A
—
GA
Enumeration date
05/03/2007
Last updated
09/05/2018
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