Individual
BEHETRIN MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2701 N DECATUR RD, DECATUR, GA 30033-5918
(404) 501-1000
Mailing address
1748 NEELY AVE, ATLANTA, GA 30344-3128
(404) 934-5813
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11102
GA
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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