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Individual

ALI ANNAIM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
125 DOUGHTY STREET, CHARLESTON, SC 29425-8630
(843) 792-8904
Mailing address
2174 N DRUID HILLS RD NE, ATLANTA, GA 30329-3102

Taxonomy

Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
80336
GA
2080P0210X
Pediatric Nephrology Physician
MD86545
SC
390200000X
Student in an Organized Health Care Education/Training Program
APPLIED FOR
IN

Other

Enumeration date
04/02/2015
Last updated
08/18/2025
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