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Individual

MS. ISATA C MOMOH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
2855 ADAMS POINTE DR, SNELLVILLE, GA 30078-2930
(770) 978-5032
Mailing address
2675 N DECATUR RD, 410, DECATUR, GA 30033-6131
(404) 501-2927
(404) 501-7644

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN136010
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146007449A
GA
Enumeration date
05/23/2007
Last updated
09/29/2025
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