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Individual

KARIM B GODAMUNNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1170 CLEVELAND AVE, EAST POINT, GA 30344-3615
(404) 466-1034
(404) 466-1038
Mailing address
PO BOX 52007, ATLANTA, GA 30355-0007
(678) 397-0060
(678) 397-0065

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
051652
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
965822
BCBS OF GA
GA
Enumeration date
05/09/2006
Last updated
01/17/2008
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