Individual
ADVIJA IBRISIMOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2161 W SPRING ST STE A, MONROE, GA 30655-3196
(770) 267-8464
Mailing address
361 SHADOWBROOKE DR, LOGANVILLE, GA 30052-8241
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
97962
GA
Other
Enumeration date
03/21/2021
Last updated
10/03/2024
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