Individual
DA'AD ABDALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0006
(706) 721-9442
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0006
(706) 721-9442
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
112419
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
05/06/2026
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