Individual
ALIYA SARA BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(770) 645-9181
Mailing address
3155 N POINT PKWY STE F100, THE GW MEDICAL FACULTY ASSOCIATES, ALPHARETTA, GA 30005-5495
(770) 645-9181
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
076897
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/10/2012
Last updated
10/10/2016
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