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Individual

ISHRAT A HUSSAIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
125 EAGLES POINTE PKWY, STE 120, STOCKBRIDGE, GA 30281-6379
(770) 474-6969
(770) 474-6996
Mailing address
125 EAGLES POINTE PKWY, STE 120, STOCKBRIDGE, GA 30281-6379
(770) 474-6969
(770) 474-6996

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
048650
GA

Other

Enumeration date
10/23/2006
Last updated
10/18/2013
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