Individual
DR. MOHAMMED JAAFAR ATTA AL FAYYADH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
470 NORTHSIDE CHEROKEE BLVD STE 365, CANTON, GA 30115-8029
(770) 277-4277
(404) 252-5745
Mailing address
470 NORTHSIDE CHEROKEE BLVD STE 365, CANTON, GA 30115-8029
(770) 277-4277
(404) 252-5745
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
84831
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/06/2013
Last updated
04/07/2021
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