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Individual

ATEF SALAM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-3248
Mailing address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-3248

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
014020
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100348
BCBS
GA
01
1172142
UNITED HEALTHCARE
GA
01
515263
US HEALTHCARE
GA
01
Y 19880601
PHCS
GA
Enumeration date
07/14/2006
Last updated
07/08/2007
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