Individual
MARIAM ADAM HASSAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
858 SUSANNAH CT, LITHONIA, GA 30058-6186
(614) 599-5692
Mailing address
5386 SNAPFINGER WOODS DR, DECATUR, GA 30035-4027
(470) 880-8080
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
272797
GA
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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