Individual
DR. MOHAMMED KUMAIL ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MSC, MBA
Contact information
Practice address
158 W PONCE DE LEON AVE, DECATUR, GA 30030-2527
(404) 251-2200
(404) 377-0814
Mailing address
158 W PONCE DE LEON AVE, DECATUR, GA 30030-2527
(404) 251-2200
(404) 377-0814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
81987
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2016
Last updated
08/28/2019
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