Individual
BAAGAN MAHAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4325 1ST AVE # 913, TUCKER, GA 30084-4498
(404) 494-0883
Mailing address
4325 1ST AVE # 913, TUCKER, GA 30084-4498
(404) 494-0883
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
975440
NY
163W00000X
Registered Nurse
Primary
RN336560
GA
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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