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Individual

MOYOSORE M. SULEIMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1045 SOUTHCREST DR STE 200, STOCKBRIDGE, GA 30281-6113
(678) 289-0549
(678) 289-8756
Mailing address
1835 SAVOY DR STE 300, ATLANTA, GA 30341-1071
(678) 289-0549
(678) 289-8756

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
063204
GA
207RH0003X
Hematology & Oncology Physician
4873
WI
208M00000X
Hospitalist Physician
036122623
IL
208M00000X
Hospitalist Physician
063204
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
385795321O
GA
05
385795321P
GA
01
G07436A
MEDICARE PTAN
GA
Enumeration date
06/05/2009
Last updated
02/03/2026
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