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Individual

DR. TAKKI MOMIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3069 AMWILER RD STE 1, ATLANTA, GA 30360-2825
(404) 910-9116
Mailing address
3069 AMWILER RD STE 1, ATLANTA, GA 30360-2825
(404) 910-9116

Taxonomy

Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
11D2261376
GA

Other

Enumeration date
08/25/2022
Last updated
08/25/2022
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