Individual
MS. SHIZA JAMAL TAJUDDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
711 CANTON RD NE STE 300, MARIETTA, GA 30060-8949
(678) 741-5000
Mailing address
711 CANTON RD NE STE 300, MARIETTA, GA 30060-8949
(678) 741-2317
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10804
GA
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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